Provider Demographics
NPI:1033203583
Name:WILLIAMS, JULI LYNN (PT)
Entity type:Individual
Prefix:MS
First Name:JULI
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 WINTER GARDEN VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9502
Mailing Address - Country:US
Mailing Address - Phone:407-573-3361
Mailing Address - Fax:407-395-8309
Practice Address - Street 1:4040 WINTER GARDEN VINELAND RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9502
Practice Address - Country:US
Practice Address - Phone:407-573-3361
Practice Address - Fax:407-395-8309
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18364225100000X
FLPT32974225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist