NPI | 1023004926 |
---|---|
Former Name | KARIN MICHELLE WILLIAMS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006688) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014584-1) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2018-03-17 |