Individual
MS. SUSAN MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5990 SILVER LAKE RD,, SUITE D, RENO, NV 89506
(775) 337-8776
(775) 337-8778
Mailing address
POB 9270, TRUCKEE, CA 96162
(530) 587-2356
(530) 587-2356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OPT79060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ08443Z
BLUE SHIELD
—
Enumeration date
08/09/2006
Last updated
07/08/2007
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