Individual
MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
5 ROCKVILLE WAY, BEAUFORT, SC 29902-3327
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3249
SC
224Z00000X
Occupational Therapy Assistant
OTA12606
FL
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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