Individual
MARY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1236 LINCOLN AVE, EVANSVILLE, IN 47714-1056
(812) 422-8555
Mailing address
PO BOX 7, ROME CITY, IN 46784-0007
(260) 463-1653
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001897A
IN
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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