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NPI Code Detail

MEDICARE: ERIN WILLIAMS LPT

MEDICARE: ERIN WILLIAMS LPT
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 Therapist1149092TX

General Provider Information

NPI Number : 1003936477
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WILLIAMS LPT
Provider Business Mailing Address
First Line : 1101 E SCHUSTER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-4659
Country : US
Telephone Number : 915-544-8484
Fax Number : 915-496-0751
Provider Business Practice Location Address
First Line : 1101 E SCHUSTER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-4659
Country : US
Telephone Number : 915-544-8484
Fax Number : 915-496-0751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/09/2007

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