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NPI Code Detail

MEDICARE: DR. PATRICK ASHLEY WILLIAMS PT, DPT

MEDICARE: DR. PATRICK ASHLEY WILLIAMS PT, DPT
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 Therapist6499AZ
2225100000XPhysical Therapist168AK

General Provider Information

NPI Number : 1396061537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK ASHLEY WILLIAMS PT, DPT
Provider Business Mailing Address
First Line : 9830 N 30TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-4441
Country : US
Telephone Number : 602-717-2893
Fax Number :
Provider Business Practice Location Address
First Line : 7430 E PINNACLE PEAK RD STE 138
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-3630
Country : US
Telephone Number : 480-502-4324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 10/30/2019

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