Provider Demographics
NPI:1609093962
Name:WILLIAMS, ASTRID (PT)
Entity Type:Individual
Prefix:MS
First Name:ASTRID
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 N MILITARY TRL
Mailing Address - Street 2:STE C
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2620
Mailing Address - Country:US
Mailing Address - Phone:561-697-8800
Mailing Address - Fax:561-697-3372
Practice Address - Street 1:2901 N MILITARY TRL
Practice Address - Street 2:STE C
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2620
Practice Address - Country:US
Practice Address - Phone:561-697-8800
Practice Address - Fax:561-697-3372
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist