Individual
MR. RODEREICK BERNARD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
36401 MANCHAC CROSSING, PRAIRIEVILLE, LA 70769
(225) 405-4066
(225) 677-8468
Mailing address
36401 MANCHAC CROSSING, PRAIRIEVILLE, LA 70769
(225) 405-4066
(225) 677-8468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11008
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTT.Z11008
OCCUPATIONAL THERAPIST
LA
Enumeration date
11/19/2010
Last updated
10/11/2013
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