Individual
JAMILLAH JILLIAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, CTRS
Contact information
Practice address
19046 BRUCE B DOWNS BLVD STE 238, TAMPA, FL 33647-2434
(813) 897-3927
Mailing address
19046 BRUCE B DOWNS BLVD STE 238, TAMPA, FL 33647-2434
(813) 897-3927
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
FL
Enumeration date
12/03/2024
Last updated
12/03/2024
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