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Individual

MS. CAROLYN CORDELIA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAPT

Contact information

Practice address
2301 VAN DYKE ST, DETROIT, MI 48214-3958
(313) 866-7363
(313) 866-7482
Mailing address
9000 E JEFFERSON AVE, APT. # 24-12, DETROIT, MI 48214-4188
(313) 822-9577

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501000685
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501000685
PHYSICAL THERAPY LICENSE
MI
Enumeration date
03/09/2007
Last updated
07/08/2007
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