Individual
KELLY ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
325 N SAINT PAUL ST, SUITE 4200, DALLAS, TX 75201-3801
(866) 217-8404
Mailing address
14508 CROSSWAY CT, CHESTERFIELD, MO 63017-8015
(314) 809-7116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005027557
MO
225200000X
Physical Therapy Assistant
20800
FL
225200000X
Physical Therapy Assistant
TE008086
PA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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