Individual
BROOKE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N EOLA DR, ORLANDO, FL 32803-3210
(912) 996-4100
Mailing address
901 N EOLA DR, ORLANDO, FL 32803-3210
(912) 996-4100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA26933
PTA LICENCE
FL
Enumeration date
08/02/2016
Last updated
08/02/2016
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