Individual
LISA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Mailing address
12552 BELLINGHAM BLVD, FISHERS, IN 46037-4207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006085A
IN
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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