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Individual

MICAH LYNN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
2415 7TH AVE S, BIRMINGHAM, AL 35233-3317
(205) 933-8101
Mailing address
2007 VESTAVIA PARK LN APT A, VESTAVIA, AL 35216-3714
(334) 313-0371

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7088
AL

Other

Enumeration date
05/16/2017
Last updated
05/16/2017
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