Provider Demographics
NPI:1780092031
Name:WILLIAMS, DAVID LLOYD (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LLOYD
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BROWN AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-7739
Mailing Address - Country:US
Mailing Address - Phone:931-456-6608
Mailing Address - Fax:931-456-6673
Practice Address - Street 1:118 BROWN AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-7739
Practice Address - Country:US
Practice Address - Phone:931-456-6608
Practice Address - Fax:931-456-6673
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand