Individual
KYLE THOMAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1155 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1498
(973) 731-5100
Mailing address
137 LINCOLN ST, MONTCLAIR, NJ 07042-4429
(973) 393-6781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00342200
NJ
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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