Most Relevant Information
Provider Data
| NPI Number: | 1003684002 |
| Provider Name: | LATRICIA LASHANE WILLIAMS OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
1504 RENAISSANCE DR NE
CONYERS
GA
300123895
Practice Location Phone/Fax
| Phone: | 4044212570 |
| Fax: |
Provider Mailing Location
8170 TUPELO TRL
JONESBORO
GA
302363958
Provider Mailing Phone/Fax
| Phone: | 4044212570 |
| Fax: |