Individual
MARY L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
6300 OCEAN DR, UNIT 5820, CORPUS CHRISTI, TX 78412-5503
(361) 825-2169
Mailing address
7718 ELK DR, CORPUS CHRISTI, TX 78414-5979
(361) 549-1205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2633
TX
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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