Individual
SHAQUANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 NE LOOP 280; BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Mailing address
1000 SAINT LOUIS AVE, SUITE102, FORT WORTH, TX 76104-3366
(817) 921-5020
(817) 921-5022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4052121
TX
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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