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Individual

JOHN ALBERT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
640 FILER AVE W, TWIN FALLS, ID 83301-4533
(208) 734-8645
Mailing address
750 SPARKS ST N APT 11, TWIN FALLS, ID 83301-3753
(208) 732-6134

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-182
ID

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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