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Individual

DOUGLAS PAUL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
5320 ADAMS AVE PKWY, OGDEN, UT 84405-6913
(801) 476-3990
Mailing address
5320 ADAMS AVE PKWY, OGDEN, UT 84405-6913

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
116765-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116765-2401
UT
Enumeration date
11/18/2022
Last updated
11/18/2022
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