STACEY H WILLIAMS

PORT CHARLOTTE, FL
NPI1811955768
Other NameSTACEY H WATERMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA15599)
Enumeration Date2006-05-02
Last Update Date2009-08-18
Business Address
-- STACEY H WILLIAMS PTA
2305 AARON ST GENESIS REHAB SERVICES RIVER COMMONS
PORT CHARLOTTE, FL 33952-5346
Phone number: 941-255-9468
Mailing Address
-- STACEY H WILLIAMS PTA
2860 CABARET ST
PORT CHARLOTTE, FL 33948-1627
Phone number: