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Vivian Williams, OTD, OTR/L

Occupational Therapist in Nampa, ID. Individual provider (NPI-1).

NPI number1831817170
StatusActive
Last updated in NPPESAug 22, 2022

Details

NPI
1831817170
Entity type
Individual (NPI-1)
Name
Vivian Williams
Credential
OTD, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2022
Certification date
Aug 22, 2022
Last updated
Aug 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist2611IDYes

Practice location

9850 W St Lukes Dr
Nampa, ID 83687-7912

Phone 208-505-2000

Mailing address

9850 W St Lukes Dr
Nampa, ID 83687-7912

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