MEDICARE: MRS. GRETTA MARGRIET WILLIAMS-LIJBERS P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT17571	CA

General Provider Information

NPI Number	:	1346269420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GRETTA MARGRIET WILLIAMS-LIJBERS P.T.

Provider Business Mailing Address
First Line	:	100 WILSON RD STE 100
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-7885
Country	:	US
Telephone Number	:	831-242-8394
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 ABBOTT ST STE 100
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4391
Country	:	US
Telephone Number	:	831-755-3578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	11/11/2022

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