Individual
WILLIAM WELLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
Mailing address
501 S LOCUST ST, MCCOMB, MS 39648-4336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2107
MS
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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