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YAQUANDA WILLIAMS ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1669880720

Individual Registrant:
 YAQUANDA  WILLIAMS ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
6722 WOODSIDE DR N  THEODORE, AL 36582-6095 US
Tel: 404-408-3911  Fax: --

Contact information for business:
6722 WOODSIDE DR N  THEODORE, AL 36582-6095 US
Tel: 404-408-3911  Fax: --

Registration Information:
NPI: 1669880720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
AL11490
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
MSAT0651

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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