Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT4847 | CA |
NPI | 1093747065 |
---|---|
Provider Name | Mrs. Susan C Williams |
First Address | Sacramento, CA 95827-2539 |
Second Address | Yuba City, CA 95991-5077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 16/09/2015 |