Organization
WILLIAMS PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WILLIAMS PT, DPT, CSCS (PHYSICAL THERAPIST/OWNER)
(480) 272-2141
Entity
Organization
Contact information
Practice address
18510 E SAN TAN BLVD, QUEEN CREEK, AZ 85142-7186
(480) 272-2141
Mailing address
P.O. BOX 2175, QUEEN CREEK, AZ 85142
(480) 272-2141
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
12486
AZ
Other
Enumeration date
07/14/2017
Last updated
07/17/2017
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