Individual
CARRIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Mailing address
4653 COPPERFIELD RD, VIRGINIA BEACH, VA 23455-4858
(757) 464-3680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305831257
VA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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