Williams, Lisa M

Williams, Lisa M is an individual health care provider with primary practice located at 2454 W Clay St , Saint Charles MO 63301-2548. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Williams, Lisa M can be contacted via phone (636) 949-3926.

Contact Information

Primary practice address
2454 W Clay St Saint Charles MO 63301-2548
Phone: (636) 949-3926
Fax: (636) 949-3928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 114634 Missouri

Profile Details

NPI number 1972557924
LBN Legal business name Williams, Lisa M
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jan 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972557924 NPPES
Missouri Other 12471565 CAQH

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