Most Relevant Information
Provider Data
| NPI Number: | 1003248022 |
| Provider Name: | ALLEN KOHL WILLIAMS PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT022826 |
Most Important Dates
| Enumeration Date: | 08/01/2013 |
| Last Updated: | 08/01/2013 |
Provider Practice Location
42 COMPLEX DR
WYALUSING
PA
188537803
Practice Location Phone/Fax
| Phone: | 5707460504 |
| Fax: | 5707460470 |
Provider Mailing Location
42 COMPLEX DR
WYALUSING
PA
188537803
Provider Mailing Phone/Fax
| Phone: | 5707460504 |
| Fax: | 5707460470 |