| NPI | 1831173251 |
|---|---|
| Former Name | JAN WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 10931) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-11-08 |