Individual
DOMINIQUE LASHANDA JAMISON-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6400 ARTHUR ST, MERRILLVILLE, IN 46410-3123
(219) 981-8551
(219) 980-0211
Mailing address
6400 ARTHUR ST, MERRILLVILLE, IN 46410-3123
(219) 981-8551
(219) 980-0211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200610120
—
IN
05
—
200708930
—
IN
Enumeration date
04/13/2007
Last updated
05/14/2008
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