Individual
EDGAR W WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4293 POND VIEW CT, BELLBROOK, OH 45305-1494
(937) 848-4803
Mailing address
4293 POND VIEW CT, BELLBROOK, OH 45305-1494
(937) 848-4803
(937) 848-4803
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
OT 002151
OH
225X00000X
Occupational Therapist
Primary
OT 002151
OH
225XE1200X
Ergonomics Occupational Therapist
OT 002151
OH
225XH1200X
Hand Occupational Therapist
OT 002151
OH
Other
Enumeration date
11/09/2006
Last updated
08/26/2008
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