Provider Demographics
NPI:1194025783
Name:WILLIAMS, AMY S (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1032 S LINDEN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3458
Mailing Address - Country:US
Mailing Address - Phone:810-733-3833
Mailing Address - Fax:810-733-1072
Practice Address - Street 1:1032 S LINDEN RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3458
Practice Address - Country:US
Practice Address - Phone:810-733-3833
Practice Address - Fax:810-733-1072
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5502002014225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant