Individual
KAREN SUE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 E BUFFALO ST, POLO, IL 61064-1701
(815) 946-2203
Mailing address
607 W MASON ST, POLO, IL 61064-1422
(815) 631-1665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005164
IL
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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