Individual
JENNIFER WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4204 OLD DOMINION RD, ORLANDO, FL 32812-7932
(321) 945-3978
Mailing address
4204 OLD DOMINION RD, ORLANDO, FL 32812-7932
(321) 945-3978
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23011
FL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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