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NPI Code Detail

MEDICARE: CARLY ELIZABETH WILLIAMS

MEDICARE:   CARLY ELIZABETH WILLIAMS
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 TherapistOT2021-020AR

General Provider Information

NPI Number : 1528736709
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY ELIZABETH WILLIAMS
Provider Business Mailing Address
First Line : BAYNE JONES ARMY COMMUNITY HOSPITAL 1585 THIRD ST
Second Line :
City : FORT POLK
State : LA
Zip : 71459-2025
Country : US
Telephone Number : 337-531-3011
Fax Number :
Provider Business Practice Location Address
First Line : BAYNE-JONES ARMY COMMUNITY HOSPITAL
Second Line : 1585 THIRD ST
City : FORT POLK
State : LA
Zip : 71459
Country : US
Telephone Number : 501-239-3353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 02/02/2026

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Directions to “ CARLY ELIZABETH WILLIAMS ” Practice Location

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