MEDICARE: KARMEN MCVOY WILLIAMS PT

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
1	225100000X	Physical Therapist	PT 9392	CA

General Provider Information

NPI Number	:	1427121201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARMEN MCVOY WILLIAMS PT

Provider Business Mailing Address
First Line	:	970 PETIT AVE
Second Line	:	SUITE 'A'
City	:	VENTURA
State	:	CA
Zip	:	93004-2215
Country	:	US
Telephone Number	:	805-672-2801
Fax Number	:	805-672-2871

Provider Business Practice Location Address
First Line	:	970 PETIT AVE
Second Line	:	SUITE 'A'
City	:	VENTURA
State	:	CA
Zip	:	93004-2215
Country	:	US
Telephone Number	:	805-672-2801
Fax Number	:	805-672-2871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	11/14/2011

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