Individual
MRS. SALLY LYNN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6458 E BROADWAY RD, MESA, AZ 85206-1727
(480) 832-5160
Mailing address
1640 E HEATHER AVE, GILBERT, AZ 85234-8233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9080A
AZ
Other
Enumeration date
10/12/2010
Last updated
10/12/2010
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