Individual
FAILICA RENEE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
27597 PARKVIEW BLVD APT 9206, WARREN, MI 48092-2945
(313) 978-6622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002630
MI
Other
Enumeration date
07/03/2008
Last updated
04/21/2010
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