Provider Demographics
NPI:1982791273
Name:MEDICAL ADMINISTRATORS DBA CHILDREN'S THERAPY SERVICES
Entity Type:Organization
Organization Name:MEDICAL ADMINISTRATORS DBA CHILDREN'S THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:HENLEY
Authorized Official - Last Name:WOOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, MPH
Authorized Official - Phone:334-262-1726
Mailing Address - Street 1:PO BOX 11449
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-0449
Mailing Address - Country:US
Mailing Address - Phone:334-262-1726
Mailing Address - Fax:
Practice Address - Street 1:1726 W 2ND ST STE C
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1546
Practice Address - Country:US
Practice Address - Phone:334-262-1726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0024225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty