Individual
MICHAEL SHANE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
(907) 262-5730
Mailing address
4101 UNIVERSITY DR # 729, ANCHORAGE, AK 99508-4625
(907) 841-4416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1697
AK
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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