Individual
LANCE ALLEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1302 WOODWARD AVE, MUSCLE SHOALS, AL 35661-2236
(256) 386-0885
(256) 386-0895
Mailing address
6891 6TH ST, LEIGHTON, AL 35646-3540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3368
AL
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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