Individual
JOHN WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(850) 584-6334
Mailing address
3926 CALLE DE SANTOS, TALLAHASSEE, FL 32311-3401
(850) 766-2705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13106
FL
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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