Individual
TIMOTHY MICHAEL WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
153 BETHANY MANOR DR, BALL GROUND, GA 30107-2268
(770) 317-1426
Mailing address
153 BETHANY MANOR DR, BALL GROUND, GA 30107-2268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001239
GA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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