Individual
TYRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 HILL STREET, LUFKIN, TX 75904
(936) 637-7215
Mailing address
1401 N EVENSIDE AVE, HENDERSON, TX 75652-5423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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