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NPI Code Detail

MEDICARE: TANIA K WILLIAMS OTR/L

MEDICARE:   TANIA K WILLIAMS  OTR/L
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
1225X00000XOccupational Therapist13784NY
2225X00000XOccupational Therapist013784NY

General Provider Information

NPI Number : 1003093550
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIA K WILLIAMS OTR/L
Provider Business Mailing Address
First Line : 45 HARTWOOD DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-4713
Country : US
Telephone Number : 585-414-3005
Fax Number :
Provider Business Practice Location Address
First Line : 45 HARTWOOD DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-4713
Country : US
Telephone Number : 585-414-3005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 07/29/2020

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Directions to “ TANIA K WILLIAMS OTR/L” Practice Location

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