Individual
KAYLA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 631-6675
Mailing address
506 CARTER ST, FARMINGTON, MO 63640-2629
(573) 330-9789
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014024759
MO
Other
Enumeration date
10/04/2014
Last updated
10/04/2014
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