Individual
JOHN WILLIAM FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1502 MAIN ST, GREENSBORO, AL 36744-1552
(601) 581-1191
Mailing address
1615 7TH AVE, HALEYVILLE, AL 35565-1233
(205) 269-5096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3390
AL
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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