Provider Demographics
NPI:1386884062
Name:WILLIAMS, AARON THERESA (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:THERESA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:AARON
Other - Middle Name:THERESA
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2052 LAKE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-2460
Mailing Address - Country:US
Mailing Address - Phone:626-797-3602
Mailing Address - Fax:626-797-9669
Practice Address - Street 1:2052 LAKE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-2460
Practice Address - Country:US
Practice Address - Phone:626-797-3602
Practice Address - Fax:626-797-9669
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor