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Individual
LAURA A WILLIAMS
Active
Individual
LAURA A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014372
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00931606
MEDICARE RAILROAD
IL
Enumeration date
09/29/2006
Last updated
05/11/2016
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