Individual
NICOLE LYNNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7929 BROOKRIVER DR, DALLAS, TX 75247-4900
(214) 389-6663
(214) 351-6453
Mailing address
415 SUFFOLK DR, GRAND PRAIRIE, TX 75052-2584
(214) 883-6712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074490
TX
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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