NPI 1043478225

Dominique Jamison-Willams

Organisation Early Intervention Provider Agency Merrillville, IN

Practice location

Address: 6400 Arthur St, Merrillville, IN 46410-3123
Phone: (219) 981-8551

Authorised official

Name: Dominique Lashanda Jamisom-Williams
Title: Occupational Therapist
Phone: (219) 981-8551

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 31002428A (IN)

Other Early Intervention Provider Agency providers in Indiana →

Registry record

NPI: 1043478225
Entity type: Organization
NPI issued: 24 May 2008
Record last updated: 24 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.