Individual
HEIDI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2315 ROUTE 34 SOUTH, WALL, NJ 08736
(732) 451-5510
Mailing address
2315 ROUTE 34 SOUTH, WALL, NJ 08736
(732) 451-5510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00122300
NJ
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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