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General NPI Number Information
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NPI Number | 1982791273
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Entity Type | Organization
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Legal Business Name | MEDICAL ADMINISTRATORS DBA CHILDREN'S THERAPY SERVICES
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1726 W 2ND ST STE C
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City | MONTGOMERY
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State | AL
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Zip | 36106-1546
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Country | US
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Telephone | 334-262-1726
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11449
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City | MONTGOMERY
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State | AL
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Zip | 36111-0449
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Country | US
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Telephone | 334-262-1726
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | TERRY HENLEY WOOSLEY
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Credential | OTR, MPH
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Telephone | 334-262-1726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0024
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License Number State | AL
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