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Individual

DARYL R WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3052 BARDSTOWN RD, LOUISVILLE, KY 40205-3020
(502) 454-5544
(502) 454-5562
Mailing address
3810 ZARING MILL CIR, LOUISVILLE, KY 40241-3052
(502) 767-5228

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006198
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KO80280
MEDICARE PTAN
KY
Enumeration date
02/21/2013
Last updated
02/11/2015
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