Individual
MISS CHARITY JOY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
Mailing address
215 E MYRTLE ST, CANTON, IL 61520-1353
(309) 338-9647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003157
IL
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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