Individual
MRS. TERAESA MARIE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(703) 257-9770
Mailing address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001386
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106001386
LICENSE#
VA
Enumeration date
05/10/2007
Last updated
05/24/2013
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