Individual
CHARLA JENA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
118 ADRIS PLACE, DOTHAN, AL 36303-1997
(334) 677-6360
(334) 678-6540
Mailing address
118 ADRIS PLACE, DOTHAN, AL 36303-1997
(334) 677-6360
(334) 678-6540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1933
AL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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