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NPI Code Detail

MEDICARE: MRS. CHRISTINE HEINZ WILLIAMS P.T.

MEDICARE: MRS. CHRISTINE HEINZ 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 Therapist100430MO

General Provider Information

NPI Number : 1861567265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE HEINZ WILLIAMS P.T.
Provider Business Mailing Address
First Line : 5 GRANTVIEW LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63123-2012
Country : US
Telephone Number : 314-843-8668
Fax Number :
Provider Business Practice Location Address
First Line : 3815 MAGNOLIA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-4025
Country : US
Telephone Number : 314-776-4320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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