Individual
SHAWNTA M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 E MAIN ST, SUITE 104, NORTHVILLE, MI 48167-2494
(248) 349-5050
Mailing address
235 E MAIN ST, SUITE 104, NORTHVILLE, MI 48167-2494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007405
MI
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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