Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY ALAN WILLARD, PTA
ActiveMR. JEREMY ALAN WILLARD, PTA is a Occupational Therapist healthcare provider located in NORWOOD, New York. NPI 1124190327 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · NORWOOD, NY
Registration Details
- NPI Number
- 1124190327
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2006 (19.761067060239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0055051 (NY)
Practice Information
- Address
-
ST. LAWRENCE NTSARC INC63 1-2 B SOUTH MAIN STREETNORWOOD, NY, 13668Browse NY providers · Browse ZIP 13668
- Phone
- 3153536652
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.