Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201000121 | MI |
N | 225XG0600X | Occupational Therapist - Gerontology | 5201000121 | MI |
N | 225XL0004X | Low Vision | 5201000121 | MI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201000121 | MI |
N | 225XP0200X | Occupational Therapist - Pediatrics | 5201000121 | MI |
NPI | 1902236755 |
---|---|
Provider Name | Yvonne Williams |
First Address | Flushing, MI 48433-1169 |
Second Address | Flint, MI 48504-1395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2013 |
Last Update Date | 14/11/2013 |