Individual
MICHELE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3515 CADUCEUS DR STE A, MYRTLE BEACH, SC 29588-2922
(843) 652-8350
Mailing address
6662 CINNAMON FERN LN, MYRTLE BEACH, SC 29588-6456
(315) 923-9231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01181201
NY
225XP0200X
Pediatric Occupational Therapist
46TR00369100
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
6971
SC
Other
Enumeration date
10/06/2023
Last updated
01/17/2024
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