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Individual

JOHN WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(601) 250-4815
Mailing address
1725 GREENWOOD DR, LA PLACE, LA 70068-2725

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3502
LA

Other

Enumeration date
09/16/2008
Last updated
09/30/2008
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