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Organization
MARTHA FAIR WILLIAMS SPORTREHAB PHYSICAL THERAPY
Active
Organization
MARTHA FAIR WILLIAMS SPORTREHAB PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA FAIR WILLIAMS P.T. MS (LEAD PHYSICAL THERAPIST/OWNER)
(707) 447-9750
Entity
Organization
Contact information
Practice address
81 CERNON STREET, VACAVILLE, CA 95688-2803
(707) 447-9750
(707) 447-9220
Mailing address
81 CERNON STREET, VACAVILLE, CA 95688-2803
(707) 447-9750
(707) 447-9220
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
225100000X
Physical Therapist
Primary
9761
CA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0097610
—
CA
Enumeration date
03/27/2007
Last updated
03/08/2018
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