Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 013784 | NY |
N | 225X00000X | Occupational Therapist | 13784 | NY |
NPI | 1003093550 |
---|---|
Provider Name | Tania K Williams |
First Address | Rochester, NY 14623-4713 |
Second Address | Rochester, NY 14623-4713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 29/07/2020 |