Individual
MARY B WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 WAPPATO CT, BOZEMAN, MT 59718-9360
(406) 624-6897
Mailing address
3524 WAPPATO CT, BOZEMAN, MT 59718-9360
(406) 624-6897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155
MT
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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