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Contact Information

ROOSEVELT WILLIAMS JR, PTA
6444 EAST SPRING ST
# 247
LONG BEACH, CA90810
 Phone: 323-945-4906
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ROOSEVELT WILLIAMS JR · (Male)

NPI Number 1386973436
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 12/21/2009
Last updated 12/21/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 3642
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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