Individual
MRS. VICKI L LYNNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
200 BERKLEY ST, ASHLAND, VA 23005-1302
(804) 399-5126
Mailing address
200 BERKLEY ST, ASHLAND, VA 23005-1302
(804) 723-2070
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119001931
VA
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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