Individual
WILLEEN WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
31790 US HIGHWAY 19 N, UNIT 252, PALM HARBOR, FL 34684-3729
(850) 843-5837
Mailing address
31790 US HIGHWAY 19 N, UNIT 252, PALM HARBOR, FL 34684-3729
(850) 843-5837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA15811
FL
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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