Individual
BRANDY D. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Mailing address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2395
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1049956
—
SC
Enumeration date
07/25/2006
Last updated
09/05/2013
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