Individual
JOSEPH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2609 PENNINGTON AVE, EDMOND, OK 73012-6560
(405) 430-8477
Mailing address
2609 PENNINGTON AVE, EDMOND, OK 73012-6560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1435
OK
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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