Provider Demographics
NPI:1891492187
Name:WILLIAMS, LILA (PT)
Entity Type:Individual
Prefix:
First Name:LILA
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 1:184 LINCOLN ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1762
Mailing Address - Country:US
Mailing Address - Phone:781-740-4900
Mailing Address - Fax:781-740-4930
Practice Address - Street 1:15 SOUTH AVE APT 1
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-2083
Practice Address - Country:US
Practice Address - Phone:781-447-3060
Practice Address - Fax:781-447-0960
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA26669225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist