Individual
VIVIAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2611
ID
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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