Williams, Phyllis Annette

Williams, Phyllis Annette is an individual health care provider with primary practice located at 1105 Spring St Ste H, Silver Spring MD 20910-4026. 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, Phyllis Annette can be contacted via phone (301) 562-1116.

Contact Information

Primary practice address
1105 Spring St Ste H Silver Spring MD 20910-4026
Phone: (301) 562-1116
Fax: (301) 562-1317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18677 Maryland

Profile Details

NPI number 1124144704
LBN Legal business name Williams, Phyllis Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1124144704 NPPES
Maryland MEDICAID 77600100

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