Individual
ALYSSA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6 EDWIN ST, MORGANTOWN, WV 26501-8505
(042) 920-1733
Mailing address
6 EDWIN ST, MORGANTOWN, WV 26501-8505
(304) 292-0173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2099
WV
225X00000X
Occupational Therapist
Primary
OC015434
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FJB26210285M
BLUE CROSS BLUE SHIELD ANTHEM
—
Enumeration date
08/19/2017
Last updated
05/19/2020
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