Individual
MARY W. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
502 S HIGHWAY 27, MARSHALL, AR 72650-7638
(870) 448-5976
(870) 448-3542
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT0000003695
TN
225X00000X
Occupational Therapist
Primary
OTR2000
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160605721
—
AR
Enumeration date
05/09/2007
Last updated
02/21/2023
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