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NPI Code Detail

MEDICARE: ERIKA G WILLIAMS MPT

MEDICARE: ERIKA G WILLIAMS MPT
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
1174400000XSpecialist1299NV

General Provider Information

NPI Number : 1336322239
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA G WILLIAMS MPT
Provider Business Mailing Address
First Line : 125 ROSETTA STONE CT
Second Line :
City : SPARKS
State : NV
Zip : 89441-0546
Country : US
Telephone Number : 775-425-0753
Fax Number :
Provider Business Practice Location Address
First Line : 2225 N MCCARRAN BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89431-3365
Country : US
Telephone Number : 775-359-1199
Fax Number : 775-359-1195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2007
Last Update Date : 12/13/2007

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Directions to “ ERIKA G WILLIAMS MPT” Practice Location

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