Most Relevant Information
Provider Data
| NPI Number: | 1003395732 |
| Provider Name: | ASHLEY NICOLE WILLIAMSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2096691 |
Most Important Dates
| Enumeration Date: | 08/13/2018 |
| Last Updated: | 08/13/2018 |
Provider Practice Location
1638 VZ COUNTY ROAD 1803
GRAND SALINE
TX
75140
Practice Location Phone/Fax
| Phone: | 9039627595 |
| Fax: |
Provider Mailing Location
1638 VZ COUNTY ROAD 1803
GRAND SALINE
TX
751403494
Provider Mailing Phone/Fax
| Phone: | 9039627595 |
| Fax: |