Individual
JACKIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22 TUCK RD, HAMPTON, NH 03842-1225
(603) 758-5173
Mailing address
22 TUCK RD, HAMPTON, NH 03842-1225
(603) 758-5173
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0586
NH
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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