| NPI | 1992740492 |
|---|---|
| Former Name | TARA M WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2000146164) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-01-26 |