Individual
MS. SHABRITTANY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1640 REDSTONE CENTER DR, PARK CITY, UT 84098-7605
(770) 225-8450
(866) 587-9993
Mailing address
810 LEE ROAD 272, CUSSETA, AL 36852-3160
(706) 773-1573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003359
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5300013009301
—
AL
Enumeration date
05/13/2019
Last updated
05/13/2019
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