MEDICARE: MRS. INDIA 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	217852

General Provider Information

NPI Number	:	1629925417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. INDIA WILLIAMS

Provider Business Mailing Address
First Line	:	1440 CARROLLTON PKWY APT 17208
Second Line	:	17208
City	:	CARROLLTON
State	:	TX
Zip	:	75010-1369
Country	:	US
Telephone Number	:	615-295-3146
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 CARROLLTON PKWY APT 17208
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-1369
Country	:	US
Telephone Number	:	615-295-3146
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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