Provider Demographics
NPI:1851158729
Name:WILLIAMS, EMILY ISABELLE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ISABELLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 US HIGHWAY 206 UNIT 310
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1584
Mailing Address - Country:US
Mailing Address - Phone:908-458-2122
Mailing Address - Fax:
Practice Address - Street 1:903 US HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1449
Practice Address - Country:US
Practice Address - Phone:908-725-1144
Practice Address - Fax:908-725-7173
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02144100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty