Individual
TODD CRAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
550 E 1400 N, SUITE W, LOGAN, UT 84341-2406
(435) 716-6440
(435) 716-6441
Mailing address
550 E 1400 N, SUITE W, LOGAN, UT 84341-2406
(435) 716-6440
(435) 716-6441
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8152257-4201
UT
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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