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NPI Code Detail

MEDICARE: JAMIE WILLIAMS

MEDICARE: JAMIE WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant
2224Z00000XOccupational Therapy AssistantOP006866PA

General Provider Information

NPI Number : 1639776214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE WILLIAMS
Provider Business Mailing Address
First Line : 410 TERRACE DR
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8991
Country : US
Telephone Number : 724-438-6000
Fax Number :
Provider Business Practice Location Address
First Line : 410 TERRACE DR
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8991
Country : US
Telephone Number : 724-438-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 10/06/2020

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Directions to “ JAMIE WILLIAMS ” Practice Location

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