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NPI 1629528286

IndividualActive

Carolyn Willingham, COTA

NPI 1629528286 · Contractor · Twentynine Palms, CA

Provider details

NPI number: 1629528286
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: COTA
Sex: Female
Sole proprietor: No
License: OTA741 (CA)

Practice location

73521 El Paseo Dr

Twentynine Palms, CA 92277-2536

Phone: (909) 528-5616

More CA providers

Mailing address

73521 El Paseo Dr

Twentynine Palms, CA 92277-2536

Registry dates

Enumerated: 2016-10-07
Last updated: 2016-10-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carolyn Willingham, COTA — NPI 1629528286, Twentynine Palms, CA | NPI Central