MEDICARE: ANEITA 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	225400000X	Rehabilitation Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1013484104	OTHER	MD	NPI

General Provider Information

NPI Number	:	1962052027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANEITA WILLIAMS

Provider Business Mailing Address
First Line	:	7111 ALLENTOWN RD STE 102
Second Line	:
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-1539
Country	:	US
Telephone Number	:	202-354-2923
Fax Number	:

Provider Business Practice Location Address
First Line	:	7111 ALLENTOWN RD STE 102
Second Line	:
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-1539
Country	:	US
Telephone Number	:	202-354-2923
Fax Number	:

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

Provider Enumeration Date	:	09/19/2019
Last Update Date	:	09/19/2019

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Directions to “ ANEITA WILLIAMS ” Practice Location

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