Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 10177 | CA |
NPI | 1033432158 |
---|---|
Provider Name | Karen Williams |
First Address | Walnut Creek, CA 94596-6319 |
Second Address | San Ramon, CA 94583-1772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2010 |
Last Update Date | 03/03/2010 |