Individual
ALLIE TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6982 PINE FOREST RD, PENSACOLA, FL 32526-8909
(850) 750-5203
Mailing address
1328 PARKLANE RD APT 713, MCCOMB, MS 39648-4971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19622
FL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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