Individual
JENNIFER LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 ORANGE AVE, 1630 MASON AVE, DAYTONA BEACH, FL 32114-4310
(386) 252-2400
(386) 252-2414
Mailing address
118 ORANGE AVE, DAYTONA BEACH, FL 32114-4310
(386) 252-2400
(386) 252-2414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22788
FL
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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