Individual
DIANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20234 E 1000TH AVE, DIETERICH, IL 62424-2142
(217) 925-5675
Mailing address
20234 E 1000TH AVE, DIETERICH, IL 62424-2142
(217) 925-5675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000926
IL
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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