DAVID RICHARD WILLIAMS

FORT WAYNE, IN
NPI1972826956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000425A)
Enumeration Date2010-03-05
Last Update Date2010-03-05
Business Address
Mr. DAVID RICHARD WILLIAMS LAT/ATC
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-6326
Mailing Address
Mr. DAVID RICHARD WILLIAMS LAT/ATC
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-6326