Individual
PORTIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
575 SHELTON MILL RD, 2413, AUBURN, AL 36830-2707
(352) 812-4998
Mailing address
8335 NW 145TH AVENUE RD, MORRISTON, FL 32668-7412
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AL-2650
FL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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