Doctor Name: | STEFFANY O WILLIAMS |
NPI Number: | 1043431562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | 9346 |
Business Practice Address: | 146 Old Farm Road Hampstead, NC - 28443 |
Business Phone Number: | 9106190257 |
Business Fax Number: | 9102708801 |
Mailing Address: | 146 Old Farm Road, HAMPSTEAD |
State: | NC |
Postal Code: | 28443 |
Phone Number: | 9106190257 |
Fax Number: | 9102708801 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 9346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |