Individual
JESSICA ALYSSA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12301 TAFT STREET, SUITE 200, PEMBROKE PINES, FL 33023
(954) 680-0488
Mailing address
6166 SW 18TH STREET, APT 1, MIRAMAR, FL 33023
(954) 274-8365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12163
FL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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