Individual
DUANE A. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSC, MA
Contact information
Practice address
807 UNIVERSITY PKWY, BOX 70403, JOHNSON CITY, TN 37614-6500
(423) 439-4071
(423) 439-4060
Mailing address
807 UNIVERSITY PKWY, BOX 70403, JOHNSON CITY, TN 37614-6500
(423) 439-4071
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001193
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0000001193
ST LIC
TN
Enumeration date
10/16/2012
Last updated
10/16/2012
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