Individual
MS. MONICA ROSHAWN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
815 E GRAYSON ST, SAN ANTONIO, TX 78208-1014
(210) 226-8181
(210) 226-9804
Mailing address
6451 WIND CYN, SAN ANTONIO, TX 78239-4400
(210) 421-6628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
SUBMIT FOR AUTHORIZATIONS
TX
05
—
05
—
TX
Enumeration date
09/11/2018
Last updated
09/11/2018
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