Individual
JENNIFER RUTH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
110 E TYLER ST, LONGVIEW, TX 75601
(903) 600-6797
(903) 600-6801
Mailing address
110 E TYLER ST, LONGVIEW, TX 75601-7224
(903) 600-6797
(972) 470-5875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113636
TX
Other
Enumeration date
09/23/2012
Last updated
03/11/2019
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