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Individual

JASON D WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
125 DIANA DR, WEBSTER SPRINGS, WV 26288-9078
(304) 847-5682
Mailing address
125 DIANA DR, WEBSTER SPRINGS, WV 26288-9078
(304) 847-5682
(304) 847-5608

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002530

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810007237
WV
Enumeration date
12/20/2005
Last updated
04/26/2024
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