Individual
JULIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
500 TIGER BLVD, SPECIAL SERVICES CENTER, BENTONVILLE, AR 72712-4208
(479) 970-1227
Mailing address
1395 N HERITAGE AVE, FAYETTEVILLE, AR 72704-5575
(479) 970-1227
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2145
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR2145
AR MEDICAL BOARD LICENSE
AR
Enumeration date
12/28/2007
Last updated
01/31/2008
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