Provider Demographics
NPI:1477613065
Name:WILLIAMS, CARLA LOUISE (MSPT)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:LOUISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5813 5TH CT S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-3213
Mailing Address - Country:US
Mailing Address - Phone:205-567-3334
Mailing Address - Fax:205-595-1776
Practice Address - Street 1:5813 5TH CT S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35212-3213
Practice Address - Country:US
Practice Address - Phone:205-567-3334
Practice Address - Fax:205-595-1776
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist