NPI | 1356759476 |
---|---|
Former Name | ALICIA J WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT011071) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11071) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2022-01-24 |