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Desiree Williams, OT

Contractor in Antioch, TN. Individual provider (NPI-1).

NPI number1376916775
StatusActive
Last updated in NPPESNov 6, 2015

Details

NPI
1376916775
Entity type
Individual (NPI-1)
Name
Ms. Desiree Williams
Credential
OT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 6, 2015
Last updated
Nov 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor2230TNYes

Practice location

1220 Quaise Moor E
Antioch, TN 37013-4966

Phone 615-294-9770

Mailing address

1220 Quaise Moor East
Antioch, TN 37013

Phone 615-294-9770

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