Individual
CONNOR WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1812 W LAKEWOOD DR, STE. 100, COEUR D ALENE, ID 83814
(208) 966-4476
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 763-0485
(844) 955-2492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6175
ID
Other
Enumeration date
06/24/2019
Last updated
07/14/2021
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