Individual
TIMOTHY P WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, CSCS
Contact information
Practice address
1902 E MOUNTAIN MAN DR, MERIDIAN, ID 83646-7783
(307) 399-5051
Mailing address
1902 E MOUNTAIN MAN DR, MERIDIAN, ID 83646-7783
(307) 399-5051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2867
ID
Other
Enumeration date
07/22/2009
Last updated
01/15/2014
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