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Contact Information

EMMA F WILLIS, COTA/L
400 CRATER LAKE AVE
MEDFORD, OR97504-6808
 Phone: 541-613-6505
 Fax: 541-770-9212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for EMMA F WILLIS · (Female)

NPI # 1497441117
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 04/14/2023
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 478687
  • VA License # E3175145
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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