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Individual

DR. JACOB LAWRENCE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3801 FAIRFAX DR STE 11, ARLINGTON, VA 22203-1762
(703) 511-1060
Mailing address
229 MADISON CIR, LOCUST GROVE, VA 22508-5643
(703) 850-4702

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215068
VA

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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