Individual
MR. ROOSEVELT WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6444 EAST SPRING ST, # 247, LONG BEACH, CA 90810
(323) 945-4906
Mailing address
1900 WEST LINCOLN ST, LONG BEACH, CA 90810
(323) 945-4906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3642
CA
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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