Individual
KRISTI LYNN WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
Mailing address
149 CONLEY ST, LEBANON, VA 24266-4655
(276) 701-1948
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
0131000561
VA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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