Individual
MRS. ANDREA WILLIAMS
Active
Individual
MRS. ANDREA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764523
—
AZ
01
—
AZ0140920
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/26/2007
Last updated
07/09/2007
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