Individual
ALFREDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7946 S BLACKSTONE AVE, CHICAGO, IL 60619-4613
(773) 734-6885
Mailing address
7946 S BLACKSTONE AVE, CHICAGO, IL 60619-4613
(773) 734-6885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004678
IL
225XG0600X
Gerontology Occupational Therapist
056004678
IL
225XM0800X
Mental Health Occupational Therapist
056004678
IL
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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