Individual
MS. SUE ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
003716-1
NY
225700000X
Massage Therapist
Primary
013922-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27025601
UNIVERA
NY
Enumeration date
10/15/2006
Last updated
01/24/2013
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