Provider Demographics
NPI:1972549244
Name:THAMES, BOBBIE-ANN SCHOFFSTALL (OT, CHT)
Entity type:Individual
Prefix:MRS
First Name:BOBBIE-ANN
Middle Name:SCHOFFSTALL
Last Name:THAMES
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:
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Mailing Address - Street 1:80 TECHNACENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-6028
Mailing Address - Country:US
Mailing Address - Phone:334-625-5795
Mailing Address - Fax:334-396-4905
Practice Address - Street 1:7057 HALCYON SUMMIT DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-6927
Practice Address - Country:US
Practice Address - Phone:334-625-5809
Practice Address - Fax:334-271-2555
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2016-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL0267225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL12141960OtherCAQH
AL511-53757OtherBCBS OF AL
AL12141960OtherCAQH
AL51525828OtherBLUE CROSS & BLUE SHIELD