Alisa Ann Willingham, OTR

NPI #1205148723 in Shelbina, Missouri

Provider Information

NPI Number: 1205148723
Entity Type: Individual
Name: Alisa Ann Willingham, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 13, 2010
Last Updated: Jul 13, 2010

Practice Location

Address: 142 SHELBY PLAZA RD
City: Shelbina
State: Missouri
ZIP Code: 63468-1065
Phone: (573) 588-4175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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