Individual
MR. ALAN CHARLES WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2701 MERIDIAN ST N, HUNTSVILLE, AL 35811-1845
(256) 852-5170
Mailing address
2701 MERIDIAN ST N, HUNTSVILLE, AL 35811-1845
(256) 852-5170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2342
AL
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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