MEDICARE: DR. MARCUS FRANKLIN WILLIAMS 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	225100000X	Physical Therapist	013917	OH

General Provider Information

NPI Number	:	1679821730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS FRANKLIN WILLIAMS DPT

Provider Business Mailing Address
First Line	:	188 CLINT DR
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-7994
Country	:	US
Telephone Number	:	614-864-5700
Fax Number	:	614-864-5701

Provider Business Practice Location Address
First Line	:	188 CLINT DR
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-7994
Country	:	US
Telephone Number	:	614-864-5700
Fax Number	:	614-864-5701

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

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

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