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NPI Code Detail

MEDICARE: MS. FAITH LYDIA WILLIAMS P.T.

MEDICARE: MS. FAITH LYDIA WILLIAMS P.T.
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 TherapistPT016442PA

General Provider Information

NPI Number : 1124202627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FAITH LYDIA WILLIAMS P.T.
Provider Business Mailing Address
First Line : 1125 CUSTIS PL
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4141
Country : US
Telephone Number : 215-870-4098
Fax Number :
Provider Business Practice Location Address
First Line : 4401 HAVERFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-1332
Country : US
Telephone Number : 215-349-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2007
Last Update Date : 12/20/2007

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