Healthcare Provider Details

I. General information

NPI: 1326576877
Provider Name (Legal Business Name): ASHLEY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2017
Last Update Date: 05/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CONDITO RD
HINGHAM MA
02043-1746
US

IV. Provider business mailing address

122 EDGEWORTH AVE
PROVIDENCE RI
02904-1447
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-4774
  • Fax:
Mailing address:
  • Phone: 401-743-9690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: