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Individual

CHAD M WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
815 TOWER PARK DR, WATERLOO, IA 50701-9027
(319) 233-6995
(319) 233-7083
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004207
IA
225100000X
Physical Therapist
070-012667
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070-012667
ILLINOIS PT LICENSE NUMBE
IL
Enumeration date
06/02/2006
Last updated
04/12/2012
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