Healthcare Provider Details

I. General information

NPI: 1649214057
Provider Name (Legal Business Name): RENEE RUTH WILLIAMS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENEE RUTH BISKNER OTR/L

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 GRAHAM RD
CUYAHOGA FALLS OH
44223-1294
US

IV. Provider business mailing address

2939 WILLIAMSBURG CIR
STOW OH
44224-2886
US

V. Phone/Fax

Practice location:
  • Phone: 330-752-4370
  • Fax:
Mailing address:
  • Phone: 330-676-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT-05678
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: