Individual
MICHAEL HENRY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6611 4TH AVE NE, BRADENTON, FL 34208-6084
(352) 617-9068
Mailing address
6611 4TH AVE NE, BRADENTON, FL 34208-6084
(352) 617-9068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10333
FL
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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