Individual
KELSEY ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 CHERRY RIDGE ST STE C323, SAN ANTONIO, TX 78230-4831
(210) 349-1415
(210) 349-1417
Mailing address
3201 CHERRY RIDGE ST STE C323, SAN ANTONIO, TX 78230-4831
(210) 349-1415
(210) 349-1417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742741474
TAX ID
—
Enumeration date
09/28/2018
Last updated
09/28/2018
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