Individual
ELIJAH KAI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4418
(209) 578-1211
Mailing address
4845 BRIDGEWATER CIR, STOCKTON, CA 95219-2010
(209) 262-8677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26100
CA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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