Individual
ADAM MICHAEL WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4625 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4338
(613) 453-9866
Mailing address
4625 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011074
OH
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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