Provider Demographics
NPI:1861672248
Name:WILLIAMS, LASHONDA LAKIA (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:LASHONDA
Middle Name:LAKIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 NW 61ST ST
Mailing Address - Street 2:APT.1423
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2537
Mailing Address - Country:US
Mailing Address - Phone:954-548-4439
Mailing Address - Fax:
Practice Address - Street 1:2118 TYLER ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6717
Practice Address - Country:US
Practice Address - Phone:954-921-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12946225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist