Provider Demographics
NPI:1235990649
Name:WILLIAMS PEARSON, ADRIANNE M (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANNE
Middle Name:M
Last Name:WILLIAMS PEARSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ADRIANNE
Other - Middle Name:MARIEWILLIAMS
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1325 STABLE RUN DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-6672
Mailing Address - Country:US
Mailing Address - Phone:615-423-7739
Mailing Address - Fax:
Practice Address - Street 1:1030 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2127
Practice Address - Country:US
Practice Address - Phone:901-523-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3529225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist