Provider Demographics
NPI:1144363847
Name:WILLIAMS, MONICA A (DPT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16256 N ORACLE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-4294
Mailing Address - Country:US
Mailing Address - Phone:520-572-6540
Mailing Address - Fax:520-818-3868
Practice Address - Street 1:16256 N ORACLE RD STE 120
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-4294
Practice Address - Country:US
Practice Address - Phone:520-572-6540
Practice Address - Fax:520-818-3868
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7552225100000X
HI20662251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI2066OtherHAWAII STATE LICENSE