Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2126 | NC |
NPI | 1972621811 |
---|---|
Provider Name | Miss Emily K Williams |
First Address | Omaha, NE 68154-5245 |
Second Address | Martinsville, VA 24112-7261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 03/06/2019 |