Individual
MRS. RENEE RUTH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
63 GRAHAM RD, CUYAHOGA FALLS, OH 44223-1294
(330) 752-4370
Mailing address
2939 WILLIAMSBURG CIR, STOW, OH 44224-2886
(330) 676-1159
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-05678
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217474
ANTHEM BCBS
—
05
—
0842995
—
OH
01
—
34-1627933
TRICARE
—
01
—
OH4655A
BEECH STREET CORPORATION
—
Enumeration date
06/15/2006
Last updated
07/26/2014
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