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NPI Code Detail

MEDICARE: JENNIFER RIDGWAY WORLEY MPH, ATC, OTR/L

MEDICARE:   JENNIFER RIDGWAY WORLEY  MPH, ATC, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist3221AL

General Provider Information

NPI Number : 1073540696
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RIDGWAY WORLEY MPH, ATC, OTR/L
Provider Business Mailing Address
First Line : 1610 PINE HARBOR RD
Second Line :
City : PELL CITY
State : AL
Zip : 35128-6760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1610 PINE HARBOR RD
Second Line :
City : PELL CITY
State : AL
Zip : 35128-6760
Country : US
Telephone Number : 706-207-1161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/15/2016

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Directions to “ JENNIFER RIDGWAY WORLEY MPH, ATC, OTR/L” Practice Location

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