Provider Demographics
NPI:1265445969
Name:WILLIAMS, JULIE ANGELA (DPT, ATC)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ANGELA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:JULIE ANGELA
Other - Middle Name:
Other - Last Name:SIEGMUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3176
Mailing Address - Country:US
Mailing Address - Phone:401-783-8077
Mailing Address - Fax:401-789-6029
Practice Address - Street 1:10 HIGH ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3176
Practice Address - Country:US
Practice Address - Phone:401-783-8077
Practice Address - Fax:401-789-6029
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAT001892255A2300X
RIPT023962251X0800X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports