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Individual

CLARICE LUCILLE HANDSHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
812 W GRAND AVE, MUSCLE SHOALS, AL 35661-2214
(217) 722-5144
Mailing address
812 W GRAND AVE, MUSCLE SHOALS, AL 35661-2214
(217) 722-5144

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.001756
IL
224Z00000X
Occupational Therapy Assistant
Primary
4359
AL

Other

Enumeration date
08/16/2016
Last updated
01/19/2017
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