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Individual

MARY LAWRENCE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
(503) 570-9155
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
(503) 570-9155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00005809
WA
225700000X
Massage Therapist
MA60490814
WA

Other

Enumeration date
04/19/2017
Last updated
11/20/2018
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