Individual
NICOLE RACHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(407) 530-5063
Mailing address
1650 SAND LAKE RD STE 395, ORLANDO, FL 32809-9122
(407) 530-5063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16366
FL
Other
Enumeration date
01/17/2019
Last updated
09/26/2025
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