Individual
JEREMY ALLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9624 BAYVIEW AVE, JACKSONVILLE, FL 32208-1544
(904) 521-9302
Mailing address
9624 BAYVIEW AVE, JACKSONVILLE, FL 32208-1544
(904) 521-9302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14227
FL
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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