Individual
MRS. MARY JO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2211 S 152ND ST, OMAHA, NE 68144-1906
(402) 697-0669
Mailing address
2211 S 152ND ST, OMAHA, NE 68144-1906
(402) 697-0669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
976
NE
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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