Individual
ALICIA AMY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19160 FRONT ST NE, POULSBO, WA 98370
(360) 779-7500
Mailing address
26180 TUCKERMAN AVE NE, KINGSTON, WA 98346-9414
(360) 621-9665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160835254
WA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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