Individual
MISS CYNTHIA JEAN CHANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4664 WOODDALE LN, PELHAM, AL 35124-1020
(205) 540-6210
Mailing address
4664 WOODDALE LN, PELHAM, AL 35124-1020
(205) 540-6210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1789
AL
224Z00000X
Occupational Therapy Assistant
211097
TX
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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