Individual
MR. MARVIN WILLIAMS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
117 BRADFIELD RD, MADISON, MS 39110-7485
(601) 707-5826
Mailing address
117 BRADFIELD RD, MADISON, MS 39110-7485
(662) 836-8889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2275
MS
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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