Provider Demographics
NPI:1710128236
Name:WILLIAMSON, JULIE A (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,
Mailing Address - Street 1:5427 TRANSIT RD.
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-639-0200
Mailing Address - Fax:716-639-0251
Practice Address - Street 1:5427 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-639-0200
Practice Address - Fax:716-639-0251
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020997-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist