Individual
DIANA GAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20104 NYS ROUTE 3, WATERTOWN, NY 13601-5560
(315) 779-7159
(315) 779-7109
Mailing address
20104 NYS ROUTE 3, WATERTOWN, NY 13601-5560
(315) 779-7159
(315) 779-7109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002104
NY
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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