Provider Demographics
NPI:1932098175
Name:ARTHUR-WILLIAMS, PHYLLIS ASOMANI
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:ASOMANI
Last Name:ARTHUR-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 1:5320 WILEY ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3045
Mailing Address - Country:US
Mailing Address - Phone:301-272-5005
Mailing Address - Fax:
Practice Address - Street 1:4907 RUGBY AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3029
Practice Address - Country:US
Practice Address - Phone:240-558-5605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10423225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation