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1518287861 NPI number — CHERYL LYNN WILLIAMS OTR/L, MED

NPI Number: 1518287861
Health Care Provider/Practitioner: CHERYL LYNN WILLIAMS OTR/L, MED

Information about “1518287861” NPI (CHERYL LYNN WILLIAMS OTR/L, MED) exists in 1518287861 in HTML format HTML  |  1518287861 in plain Text format TXT  |  1518287861 in PDF (Portable Document Format) PDF  |  1518287861 in an XML format XML  formats.

NPI Number : 1518287861 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518287861",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "CHERYL",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTR/L, MED",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6520 THIRD STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKLEDGE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32955",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-622-8792",
    "MailingAddressFaxNumber": "321-622-8793",
    "FirstLinePracticeLocationAddress": "3305 S. ORANGE AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-277-5400",
    "PracticeLocationAddressFaxNumber": "321-281-4942",
    "EnumerationDate": "06/09/2010",
    "LastUpdateDate": "08/16/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/29/2019",
    "NPIReactivationDate": "08/16/2019",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT20157",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT 10594",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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