Individual
DAVID WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4407 AMARILLO ST, BLYTHEVILLE, AR 72315-5702
(870) 532-2229
Mailing address
302 GREENE ROAD 154, PARAGOULD, AR 72450-7621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1479
AR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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