Individual
MR. ELAWNTO REGGIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, PTA, CSCS
Contact information
Practice address
4469 MOBILE HWY STE C, PENSACOLA, FL 32506-7100
(850) 458-2020
Mailing address
2059 JUNO CIR, PENSACOLA, FL 32526-8422
(850) 291-4523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19797
FL
Other
Enumeration date
01/25/2008
Last updated
07/21/2022
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