Individual
KELLY B WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1127 KNIGHT DR, COLUMBUS, GA 31906-2731
(706) 405-6538
Mailing address
1127 KNIGHT DR, COLUMBUS, GA 31906-2731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2768
GA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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