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Contact Information

MELISSA J WILLIAMS, MSPT
221 S JAMES ST
BOUTON PHYSICAL THERAPY
ROME, NY13440
 Phone: 315-337-1436
 Fax: 315-337-1437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MELISSA J WILLIAMS · (Female)

NPI Number 1104837715
Status Active
Credentials MSPT (Master of Science in Physical Therapy)
Entity Individual
Enumeration date 08/10/2006
Last updated 07/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0275031
  • NY Medicaid 02692693
  • Other 7343747 AETNA
  • Other 10101063 CDPHP
  • Other PO10027503 EXCELLUS
  • Other 051213000065 FIDELIS
  • Other 6696836 GHI
  • Other 385413 MVP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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