Randall Willis, LOT

NPI #1033357264 in Brownsville, Texas

Provider Information

NPI Number: 1033357264
Entity Type: Individual
Name: Randall Willis, LOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: LOT
Enumeration Date: Jan 26, 2009
Last Updated: Nov 2, 2011

Practice Location

Address: 835 N EXPRESSWAY
Address 2: SUITE A
City: Brownsville
State: Texas
ZIP Code: 78520-6831
Phone: (956) 544-7722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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