Individual
MICHELLE NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W 3RD ST, DAVENPORT, IA 52802-1812
(563) 327-0135
Mailing address
3110 24TH ST APT E, ROCK ISLAND, IL 61201-6254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01092
IA
225200000X
Physical Therapy Assistant
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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