Individual
KELSEY DANIELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 765-9655
Mailing address
106 LINDA HTS, FALL BRANCH, TN 37656-1600
(276) 690-0069
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12825063
TN
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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