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NPI Code Detail

MEDICARE: VICTORIA WILLIAMSON MS, OTR/L

MEDICARE:   VICTORIA  WILLIAMSON  MS, 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 TherapistOC009898PA

General Provider Information

NPI Number : 1407234610
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA WILLIAMSON MS, OTR/L
Provider Business Mailing Address
First Line : 10000 SHANNONDELL DR
Second Line :
City : AUDUBON
State : PA
Zip : 19403-5615
Country : US
Telephone Number : 610-382-6849
Fax Number :
Provider Business Practice Location Address
First Line : 10000 SHANNONDELL DR
Second Line :
City : AUDUBON
State : PA
Zip : 19403-5615
Country : US
Telephone Number : 610-382-6849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2015
Last Update Date : 05/08/2015

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Directions to “ VICTORIA WILLIAMSON MS, OTR/L” Practice Location

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