Individual
SHAIYA TAMARRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 AVENUE I, BROOKLYN, NY 11230-3003
(718) 377-7507
Mailing address
143 LA BONNE VIE DR W APT H, EAST PATCHOGUE, NY 11772-4571
(347) 703-0524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011586
NY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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