Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 101222 | TX |
NPI | 1073635009 |
---|---|
Provider Name | Ms. Belinda Kay West Williams |
First Address | Desoto, TX 75115-5357 |
Second Address | Dallas, TX 75212-6313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |