Individual
MICKI L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
204 SEMINARY ST., WARSAW, MO 65355
(660) 438-6993
Mailing address
P.O. BOX 141, URBANA, MO 65767
(417) 993-4670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111525
MO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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