Individual
JASON PAUL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10B MADISON AVENUE EXT, ALBANY, NY 12203-7314
(518) 867-3061
Mailing address
12 MARILYN DR, GLENVILLE, NY 12302-3806
(619) 459-8778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6196
CA
Other
Enumeration date
12/20/2017
Last updated
07/25/2025
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