Individual
MR. MANZIE LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED., ATC
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 326-4649
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 935-3842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-2486
OH
Other
Enumeration date
02/24/2006
Last updated
02/01/2014
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