Provider Demographics
NPI:1811522857
Name:WILLIAMS, JOEL JOSEPH (DPT)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:JOSEPH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 CANAL RD
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2573
Mailing Address - Country:US
Mailing Address - Phone:954-249-1293
Mailing Address - Fax:
Practice Address - Street 1:620 2ND AVE
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-2727
Practice Address - Country:US
Practice Address - Phone:785-243-2720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist