Williams, Nysa R
Williams, Nysa R is an individual health care provider with primary practice located at 130 Avenida Cabrillo Ste C , San Clemente CA 92672-5509. 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, Nysa R can be contacted via phone (800) 943-3651.Contact Information
Primary practice address
130 Avenida Cabrillo Ste C
San Clemente CA 92672-5509
Phone: (800) 943-3651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT33616 | California |
Profile Details
| NPI number | 1861462061 |
|---|---|
| LBN Legal business name | Williams, Nysa R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Oct 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861462061 | NPPES |
| Colorado | MEDICAID | 94223327 |
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