Individual
MR. JEREMIAH EDWARD WILLIAMS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
770 POPLAR CHURCH RD, CAMP HILL, PA 17011-2302
(717) 763-7070
Mailing address
3905 RIDGELAND BLVD, MECHANICSBURG, PA 17050-2150
(610) 349-9972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A7812
NC
225200000X
Physical Therapy Assistant
TE008112
PA
225200000X
Physical Therapy Assistant
Primary
TEI002617
PA
Other
Enumeration date
04/07/2009
Last updated
05/09/2022
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