Organization
PEDIATRIC THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THIBODEAUX WILLIAMS OTD, OTR/L (OWNER)
(770) 355-5081
Entity
Organization
Contact information
Practice address
2896 MCMAHAN SAWMILL RD, SEVIERVILLE, TN 37862-7623
(770) 355-5081
(770) 363-1323
Mailing address
2896 MCMAHAN SAWMILL RD, SEVIERVILLE, TN 37862-7623
(770) 355-5081
(770) 363-1323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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