Individual
MS. AMANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3960 BELL RD, APT 1206, HERMITAGE, TN 37076-2944
(616) 975-2868
(615) 871-9805
Mailing address
3960 BELL RD, APT 1206, HERMITAGE, TN 37076-2944
(616) 975-2868
(615) 871-9805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PSS164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894
OTLICENSE
TN
Enumeration date
03/04/2007
Last updated
07/08/2007
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