Provider Demographics
NPI:1811248289
Name:WILLIAMS, NATHALIE HENRIQUEZ (OTR, MSOT)
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:HENRIQUEZ
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OTR, MSOT
Other - Prefix:
Other - First Name:NATHALIE
Other - Middle Name:MICHELLE
Other - Last Name:HENRIQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 E RAMSEY RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4639
Mailing Address - Country:US
Mailing Address - Phone:210-490-3900
Mailing Address - Fax:
Practice Address - Street 1:962 CORONADO BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-3228
Practice Address - Country:US
Practice Address - Phone:210-490-3900
Practice Address - Fax:210-490-3911
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115032225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist