Individual provider · Type 1 NPI
Kelly A. Williams Wyche, OTR/L
Specialist · Raleigh, NC
NPI number
1174729263
Active
Practice location
3001 Spring Forest Rd
Raleigh, NC 27616-2815
Mailing address
541 Valley View Dr
Lewisville, TX 75067-7772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 4537 (NC) |
| Specialist Primary | 174400000X | 116166 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1174729263
Kelly A. Williams Wyche, OTR/L's National Provider Identifier is 1174729263, issued on Jun 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 2, 2014.