person
Mr. Clinton Barrett Wallis, OT
Specialist in Mobile, Alabama
NPI 1053359208

Clinton Barrett Wallis is a Specialist based in Mobile, AL. Clinton Barrett Wallis practices in Mobile, AL and has the professional credentials of OT. The NPI Number for Clinton Barrett Wallis is 1053359208 and holds a License No. 2224 (Alabama).

The current practice location address for Clinton Barrett Wallis is 709 Downtowner Loop W, Mobile, AL and can be reached out via phone at 251-380-1111 and via fax at 251-380-1110.

Location: 709 Downtowner Loop W, Mobile, AL, 36609-5503
person
Provider Profile Details
NPI Number
1053359208
Provider Name
Clinton Barrett Wallis
Credential
OT
Provider Entity Type
Individual
Gender
Male
Address
709 Downtowner Loop W, Mobile, AL, 36609-5503
Phone Number
251-380-1111
Fax Number
251-380-1110
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51514463 01 AL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
709 Downtowner Loop W
City
State
Zip
36609-5503
Phone Number
251-380-1111
Fax Number
251-380-1110
person
Provider Business Mailing Address Details
Address
709 Downtowner Loop W
City
State
Zip
36609-5503
Phone Number
251-380-1111
Fax Number
251-380-1110
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
2224 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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