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Individual

AMANDA BETH WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
2301 5TH ST N, APT. J78, COLUMBUS, MS 39705-2248
(256) 335-5891

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5010
MS
225200000X
Physical Therapy Assistant
5152
TN
225200000X
Physical Therapy Assistant
6301
AL

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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