Florence Denise Waters, COTA

Individual provider Active NPI Occupational Therapy Assistant · Somerville, AL

NPI 1871959643 · NPPES record last updated Jan 11, 2016

Key facts

NPI
1871959643
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4154 (AL)
Practice address
127 Whisperwood Dr
Somerville, AL 35670-3862
Phone
(256) 303-8753
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4154ALMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4154 AL Yes

Addresses

Primary practice location

127 Whisperwood Dr
Somerville, AL 35670-3862

Mailing address

1350 14TH Ave SE
Decatur, AL 35601-4364
Phone (256) 355-6911

Other names

  • Mrs. Denise Grantland Waters Other name

Other providers in Somerville, AL

All providers in Somerville, AL · Occupational Therapy Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.