Individual
MOLLY GRACE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
525 NE 71ST ST, NEWPORT, OR 97365-9300
(541) 574-0550
Mailing address
525 NE 71ST ST, NEWPORT, OR 97365-9300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9993
OR
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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