Healthcare Provider Details

I. General information

NPI: 1053721977
Provider Name (Legal Business Name): ANNA TEMPLETON MCDILL O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. ANNA TEMPLETON

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 06/28/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 VILLAGE PROFESSIONAL DR N
OPELIKA AL
36801-4734
US

IV. Provider business mailing address

2450 VILLAGE PROFESSIONAL DRIVE NORTH
OPELIKA AL
36801
US

V. Phone/Fax

Practice location:
  • Phone: 334-528-1964
  • Fax: 334-742-9352
Mailing address:
  • Phone: 334-528-1964
  • Fax: 334-742-9352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3561
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: