Individual
LACIE ANISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
863 W OGLETHORPE HWY STE 210, HINESVILLE, GA 31313-4491
(912) 368-0534
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11027
LA
225100000X
Physical Therapist
Primary
CP010380T
GA
Other
Enumeration date
01/27/2022
Last updated
02/08/2022
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