Individual
KIMESHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 872-2771
Mailing address
412 50TH AVE S, ST PETERSBURG, FL 33705-4932
(727) 515-0955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18761
FL
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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