Provider Demographics
NPI:1831414002
Name:WILLIAMS, JANET NEWSOME (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:NEWSOME
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 FOREST AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5009
Mailing Address - Country:US
Mailing Address - Phone:804-282-4596
Mailing Address - Fax:804-282-4598
Practice Address - Street 1:1610 FOREST AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5009
Practice Address - Country:US
Practice Address - Phone:804-282-4596
Practice Address - Fax:804-282-4598
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005074225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics