Individual
MR. JOE F WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2811 DR JOHN HAYNES DR, PELL CITY, AL 35125-1447
(205) 884-7202
Mailing address
2811 DR JOHN HAYNES DR, PELL CITY, AL 35125-1447
(205) 884-7202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0967
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-10960
SCR BCBS
AL
01
—
515-38619
CFI BCBS
AL
01
—
515-38620
MCB BCBS
AL
Enumeration date
05/04/2007
Last updated
07/08/2007
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