| NPI | 1437933082 |
|---|---|
| Former Name | TEASIE KAHREN WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP024775T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016786) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |