MEDICARE: ASHLEY ANN 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
1	224Z00000X	Occupational Therapy Assistant
2	224Z00000X	Occupational Therapy Assistant	32003032A	IN

General Provider Information

NPI Number	:	1588136568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ANN WILLIAMS

Provider Business Mailing Address
First Line	:	7409 N BUDDY DR
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-9649
Country	:	US
Telephone Number	:	765-546-2330
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 ANDERSON RD
Second Line	:
City	:	ANDERSON
State	:	IN
Zip	:	46017-1514
Country	:	US
Telephone Number	:	765-378-0213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2019
Last Update Date	:	11/02/2022

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Directions to “ ASHLEY ANN WILLIAMS ” Practice Location

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