Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT9333 | FL |
N | 225XE0001X | Environmental Modification | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics | ||
N | 225XR0403X | Driving and Community Mobility |
NPI | 1881615474 |
---|---|
Provider Name | Mrs. Amber Lynette Williams |
First Address | Tallahassee, FL 32303 |
Second Address | Tallahassee, FL 32303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 19/04/2018 |