NPI 1114661568

Dominic Desean Williams, RKT

Practitioner Kinesiotherapist Lake City, FL

Practice location

Address: 619 S Marion Ave, Lake City, FL 32025-5808
Phone: (386) 755-3016
Mailing address: 826 SW Amberwood Loop # 810-105, Lake City, FL 32025-6979

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1114661568
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2022
Record last updated: 22 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.