Individual
MRS. JENNA GRACE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 415-2010
(615) 634-3821
Mailing address
401 OLD PLEASANT GROVE RD APT 712, MOUNT JULIET, TN 37122-7312
(419) 564-2322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
006205
OH
224Z00000X
Occupational Therapy Assistant
Primary
OTA006205
OH
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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