Individual
MS. TRACY ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1032 N LINCOLN ST, STOCKTON, CA 95203-2409
(209) 466-5341
Mailing address
1032 N LINCOLN ST, STOCKTON, CA 95203-2409
(209) 466-5341
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
956
CA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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