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General NPI Number Information
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NPI Number | 1275814022
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Entity Type | Organization
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Legal Business Name | WILLIAMS PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 970 PETIT AVE SUITE A
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City | VENTURA
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State | CA
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Zip | 93004-2215
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Country | US
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Telephone | 805-672-2801
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Fax |
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Provider Business Mailing Address
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Address Line | 970 PETIT AVE SUITE A
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City | VENTURA
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State | CA
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Zip | 93004-2215
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Country | US
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Telephone | 805-672-2801
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. KARMEN MCVOY WILLIAMS
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Credential | PT
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Telephone | 805-672-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT009392
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License Number State | CA
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