Individual
ANNIE CATHERINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3492 MARTIN HURST RD, TALLAHASSEE, FL 32312-1702
(850) 701-3920
Mailing address
3970 BOURBON ST, TALLAHASSEE, FL 32303-2035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17680
FL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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