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NPI Code Detail

MEDICARE: MICHAEL ANDREW WILLIAMS OTR/L

MEDICARE: MICHAEL ANDREW 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
1225XP0019XPhysical Rehabilitation Occupational Therapist2979AL

General Provider Information

NPI Number : 1649463944
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ANDREW WILLIAMS OTR/L
Provider Business Mailing Address
First Line : 245 CAHABA VALLEY PKWY STE 200
Second Line : TRINITY REHAB
City : PELHAM
State : AL
Zip : 35124-2217
Country : US
Telephone Number : 205-314-7227
Fax Number : 205-314-7222
Provider Business Practice Location Address
First Line : 500 SPANISH FORT BLVD
Second Line : TRINITY REHAB
City : SPANISH FORT
State : AL
Zip : 36527-5018
Country : US
Telephone Number : 251-626-8526
Fax Number : 251-626-4378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2007
Last Update Date : 02/17/2015

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