Willis, Terrie

Willis, Terrie is an individual health care provider with primary practice located at 927 Grace Ave , Panama City FL 32401-2521. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Willis, Terrie can be contacted via phone (850) 769-5371.

Contact Information

Primary practice address
927 Grace Ave Panama City FL 32401-2521
Phone: (850) 769-5371
Fax: (850) 872-9558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT13466 Florida

Profile Details

NPI number 1669701033
LBN Legal business name Willis, Terrie
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2009
Last updated Mar 24th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669701033 NPPES
Florida MEDICAID 001681700

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