Williams, Michelle Elizabeth
Williams, Michelle Elizabeth is an sole proprietor health care provider with primary practice located at 150 Southpark Blvd Ste 202 , Saint Augustine FL 32086-5179. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Williams, Michelle Elizabeth can be contacted via phone (904) 217-3103.Contact Information
Primary practice address
150 Southpark Blvd Ste 202
Saint Augustine FL 32086-5179
Phone: (904) 217-3103
Fax: (904) 467-3422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT20773 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 4671 | California |
Profile Details
| NPI number | 1992973143 |
|---|---|
| LBN Legal business name | Williams, Michelle Elizabeth |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2008 |
| Last updated | Jun 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992973143 | NPPES |
| Florida | MEDICAID | 107822500 |
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