Individual
MR. ROBERT ERIC WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
Mailing address
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601840
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306-601840
STATE LICENSE
VA
Enumeration date
01/04/2007
Last updated
07/08/2007
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