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Individual

MRS. SUMMER DAWN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4847 E VIRGINIA ST, EVANSVILLE, IN 47715-2611
(866) 755-4258
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-3323

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
224Z00000X
Occupational Therapy Assistant
Primary
32003807A
IN

Other

Enumeration date
08/29/2017
Last updated
12/20/2023
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