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Individual

MATTHEW SCOTT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
560 SOUTH LOOP RD, EDGEWOOD, KY 41017
(859) 301-5600
(859) 301-5669
Mailing address
PO BOX 6031, CINCINNATI, OH 45270-6031
(513) 557-4270
(513) 557-3214

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003977
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700129300
KY
Enumeration date
10/24/2005
Last updated
04/29/2008
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