Provider Demographics
NPI:1720795750
Name:WILLIAMS, ALLAN DAVID JR (OTR)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:DAVID
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5555 N LAMAR BLVD # 130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1073
Mailing Address - Country:US
Mailing Address - Phone:512-869-7310
Mailing Address - Fax:512-688-5585
Practice Address - Street 1:5555N L AMAR BLVD #130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751
Practice Address - Country:US
Practice Address - Phone:512-869-7310
Practice Address - Fax:512-688-5585
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118061225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist