Individual
MR. JUSTIN M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, RRT
Contact information
Practice address
161 BAKERS RIDGE ROAD, MORGANTOWN, WV 26508
(304) 285-0692
Mailing address
R.R. 2 BOX 423, GRAFTON, WV 26354
(740) 709-1364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001488
WV
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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