Individual
TIFFANY S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
442 E HAMPTON ST, STOCKTON, CA 95204-5519
(209) 466-0456
Mailing address
1633 E BIANCHI RD APT 29, STOCKTON, CA 95210-7600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA47957
CA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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