Individual
MRS. THERESA MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8326 CREEDMOOR LN, NEW PORT RICHEY, FL 34654-4598
(727) 378-4286
Mailing address
8326 CREEDMOOR LN, NEW PORT RICHEY, FL 34654-4598
(727) 378-4286
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 8308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884566200
—
FL
Enumeration date
08/14/2006
Last updated
06/04/2010
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