Individual
MARK WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1160 WOODWIND DR, TALBOTT, TN 37877-8357
(423) 581-1043
Mailing address
1160 WOODWIND DR, TALBOTT, TN 37877-8357
(423) 581-1043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5428
TN
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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