Individual
MRS. TANYAA SHAREE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 474-1249
Mailing address
1013 CATHEDRAL DR, SUFFOLK, VA 23434-8182
(757) 539-1719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1076780
VA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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