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NPI Code Detail

MEDICARE: MONTANA WILLIAMS

MEDICARE: MONTANA WILLIAMS
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 Therapist4390AL

General Provider Information

NPI Number : 1649716051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTANA WILLIAMS
Provider Business Mailing Address
First Line : 245 CAHABA VALLEY PKWY
Second Line : STE. 200
City : PELHAM
State : AL
Zip : 35124-2216
Country : US
Telephone Number : 205-942-6820
Fax Number :
Provider Business Practice Location Address
First Line : 500 SPANISH FORT BLVD
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-5018
Country : US
Telephone Number : 205-942-6820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2017
Last Update Date : 01/09/2017

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Directions to “ MONTANA WILLIAMS ” Practice Location

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