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NPI Code Detail

MEDICARE: PATRICK JOHN WILLIAMS

MEDICARE:   PATRICK JOHN WILLIAMS
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
1225100000XPhysical Therapist3745NV

General Provider Information

NPI Number : 1639665797
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JOHN WILLIAMS
Provider Business Mailing Address
First Line : 1096 SNOW ROOF AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89052-0411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2651 PASEO VERDE PKWY STE 170
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6616
Country : US
Telephone Number : 702-312-4878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 10/26/2023

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Directions to “ PATRICK JOHN WILLIAMS ” Practice Location

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