Individual
MRS. DENEEN ELISHA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10461 HALLMARK BLVD, RIVERVIEW, FL 33578-3341
(813) 300-2110
Mailing address
10461 HALLMARK BLVD, RIVERVIEW, FL 33578-3341
(813) 300-2110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 5745
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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