Individual
ALAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2005 12TH AVE RD, NAMPA, ID 83686-6311
(208) 463-0022
(208) 463-0031
Mailing address
2005 12TH AVE RD, NAMPA, ID 83686-6311
(208) 463-0022
(208) 463-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT576
ID
225X00000X
Occupational Therapist
OT129
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004407500
—
ID
Enumeration date
01/24/2007
Last updated
04/19/2013
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