Most Relevant Information
Provider Data
| NPI Number: | 1003598319 |
| Provider Name: | TERI ANN WILLIAMSON LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 4632 |
Most Important Dates
| Enumeration Date: | 08/04/2023 |
| Last Updated: | 08/04/2023 |
Provider Practice Location
4347 W GAY RD
DIBERVILLE
MS
395403412
Practice Location Phone/Fax
| Phone: | 2283928484 |
| Fax: |
Provider Mailing Location
4347 W GAY RD
DIBERVILLE
MS
395403412
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |