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Individual

CARLISSA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1009 RUSSO ST, NEW IBERIA, LA 70563
(337) 333-3333
Mailing address
1009 RUSSO ST, NEW IBERIA, LA 70563-8987

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A9233
LA

Other

Enumeration date
09/12/2025
Last updated
02/13/2026
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