Provider Demographics
NPI:1649214057
Name:WILLIAMS, RENEE RUTH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:RUTH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:RUTH
Other - Last Name:BISKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2939 WILLIAMSBURG CIR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2886
Mailing Address - Country:US
Mailing Address - Phone:330-676-1159
Mailing Address - Fax:
Practice Address - Street 1:63 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1294
Practice Address - Country:US
Practice Address - Phone:330-752-4370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-05678225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4655AOtherBEECH STREET CORPORATION
OH0842995Medicaid
000000217474OtherANTHEM BCBS
34-1627933OtherTRICARE
366587Medicare PIN