Individual
MARCUS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 BROOKHAVEN CT S, PALM COAST, FL 32164-2442
(386) 627-6876
Mailing address
183 BROOKHAVEN CT S, PALM COAST, FL 32164-2442
(386) 627-6876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29433
FL
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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