Individual
MALISSA R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12802 JOHNSON DR, SHAWNEE, KS 66216-1645
(913) 228-1407
Mailing address
1451 NW 38TH ST APT 202, KANSAS CITY, MO 64116-4555
(636) 485-0797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03963
KS
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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