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NPI Code Detail

MEDICARE: KATHLEEN WILLIAMS PT

MEDICARE: KATHLEEN 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
1225100000XPhysical Therapist1176380TX

General Provider Information

NPI Number : 1538449889
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN WILLIAMS PT
Provider Business Mailing Address
First Line : 3309 ALTRICK DR
Second Line :
City : PLANO
State : TX
Zip : 75093-8089
Country : US
Telephone Number : 214-317-8182
Fax Number :
Provider Business Practice Location Address
First Line : 3362 FOREST LN
Second Line : SUITE 304
City : DALLAS
State : TX
Zip : 75234-7796
Country : US
Telephone Number : 888-440-4987
Fax Number : 281-894-5501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 08/18/2011

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Directions to “ KATHLEEN WILLIAMS PT” Practice Location

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