Individual
MR. JONATHAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, VATL, ATC, CSCS
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 434-1597
Mailing address
2017 SUSAN LEE LN, VIRGINIA BEACH, VA 23464-8235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002543
VA
Other
Enumeration date
04/19/2006
Last updated
12/13/2016
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