Individual
MRS. NICOLE CHRISTINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
214 W MAIN, PUYALLUP, WA 98371-5328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60064485
WA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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