Individual
ALYSSA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
709 KINDRED LN, RICHARDSON, TX 75080-3112
(570) 594-1627
Mailing address
709 KINDRED LN, RICHARDSON, TX 75080-3112
(570) 594-1627
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6254
TX
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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