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General NPI Number Information
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NPI Number | 1033217203
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Entity Type | Individual
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Provider Name | RACHEL NICHOLE WILLIAMS PT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 2750 FALKENBURG RD S
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City | RIVERVIEW
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State | FL
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Zip | 33569-2561
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Country | US
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Telephone | 813-622-3885
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Fax | 813-622-3886
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Provider Business Mailing Address
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Address Line | 3814 ELM ST
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City | ELLENTON
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State | FL
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Zip | 34222-2358
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Country | US
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Telephone | 941-723-2866
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Fax | 813-622-3886
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 22380
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License Number State | FL
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