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1356672802
JUSTIN M WILLIAMS
MORGANTOWN, WV
NPI
1356672802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV PTA 001488)
Enumeration Date
2010-01-22
Last Update Date
2010-01-22
Business Address
Mr. JUSTIN M WILLIAMS PTA, RRT
161 BAKERS RIDGE ROAD
MORGANTOWN, WV 26508
Phone number: 304-285-0692
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Mailing Address
Mr. JUSTIN M WILLIAMS PTA, RRT
R.R. 2 BOX 423
GRAFTON, WV 26354
Phone number: 740-709-1364
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