MEDICARE: DR. AMY MARIE 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	32923	CA

General Provider Information

NPI Number	:	1750544789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY MARIE WILLIAMS PT, DPT

Provider Business Mailing Address
First Line	:	1815 W 213TH ST
Second Line	:	SUITE 100
City	:	TORRANCE
State	:	CA
Zip	:	90501-2800
Country	:	US
Telephone Number	:	310-328-0276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 W 213TH ST
Second Line	:	SUITE 100
City	:	TORRANCE
State	:	CA
Zip	:	90501-2800
Country	:	US
Telephone Number	:	310-328-0276
Fax Number	:

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

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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