Jacqueline Childs, OTRL

NPI #1396964383 in Bay Minette, Alabama

Provider Information

NPI Number: 1396964383
Entity Type: Individual
Name: Jacqueline Childs, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTRL
Enumeration Date: Apr 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 107 N HOYLE AVE
City: Bay Minette
State: Alabama
ZIP Code: 36507-4827
Phone: (251) 580-8236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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