Provider Demographics
NPI:1962052027
Name:WILLIAMS, ANEITA
Entity type:Individual
Prefix:
First Name:ANEITA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 ALLENTOWN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-1539
Mailing Address - Country:US
Mailing Address - Phone:202-354-2923
Mailing Address - Fax:
Practice Address - Street 1:7111 ALLENTOWN RD STE 102
Practice Address - Street 2:
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-1539
Practice Address - Country:US
Practice Address - Phone:202-354-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1013484104OtherNPI