MEDICARE: SABINE WILLIAMS PT, DPT

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	2251P0200X	Pediatric Physical Therapist	PT013425	GA

General Provider Information

NPI Number	:	1548754393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABINE WILLIAMS PT, DPT

Provider Business Mailing Address
First Line	:	1328 DEKALB AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-2027
Country	:	US
Telephone Number	:	404-600-4627
Fax Number	:	470-270-8130

Provider Business Practice Location Address
First Line	:	1328 DEKALB AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-2027
Country	:	US
Telephone Number	:	404-600-4627
Fax Number	:	470-270-8130

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

Provider Enumeration Date	:	06/15/2018
Last Update Date	:	09/08/2021

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