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Individual

MRS. KATHLEEN MARIE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LAT, CSCS

Contact information

Practice address
109 UNIVERSITY SQ, ERIE, PA 16541-1114
(814) 871-5873
Mailing address
6414 PEPPER CT, ERIE, PA 16505-2672
(937) 672-8732

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002204A
PA

Other

Enumeration date
12/12/2006
Last updated
05/09/2016
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