Provider Demographics
NPI:1912141490
Name:WILLIAMS, KARI MCDONALD (DPT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:MCDONALD
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:CHRISTINA
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1525 HERBERT ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-6106
Mailing Address - Country:US
Mailing Address - Phone:386-756-0424
Mailing Address - Fax:386-756-0425
Practice Address - Street 1:1525 HERBERT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-6106
Practice Address - Country:US
Practice Address - Phone:386-756-0424
Practice Address - Fax:386-756-0425
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist