Organization
WILLIAMS PEDIATRIC THERAPY, PLLC
Active
Other names
Little Light Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS OTR (OCCUPATIONAL THERAPIST/OWNER)
(903) 932-7370
Entity
Organization
Contact information
Practice address
110 E TYLER ST, LONGVIEW, TX 75601-7224
(903) 600-6797
(903) 600-6801
Mailing address
110 E TYLER ST, LONGVIEW, TX 75601-7224
(903) 600-6797
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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