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Individual
JERRY LEE WILLIAMS JR.
Active
Individual
JERRY LEE WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
1215
TN
225XN1300X
Neurorehabilitation Occupational Therapist
OT-4371
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030397
—
MS
05
—
Q115626
—
TN
Enumeration date
06/29/2026
Last updated
09/11/2026
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