Individual
JACKLYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2001 SCENIC DR, GEORGETOWN, TX 78626-7725
(512) 863-9511
Mailing address
19121 PENCIL CACTUS DR, PFLUGERVILLE, TX 78660-5454
(512) 800-9705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210218
TX
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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