Individual
TREVOR SCOTT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
715 W LAKE LANSING RD, EAST LANSING, MI 48823-1445
(517) 337-0475
(517) 337-1142
Mailing address
715 W LAKE LANSING RD, EAST LANSING, MI 48823-1445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000977
MI
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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