Individual
THOMAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11432 BUSINESS BLVD, SUITE 18, EAGLE RIVER, AK 99577-7740
(907) 622-6363
Mailing address
650 N SHORELINE DR, WASILLA, AK 99654-6677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100747
AK
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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