Provider Demographics
NPI:1427121201
Name:WILLIAMS, KARMEN MCVOY (PT)
Entity type:Individual
Prefix:
First Name:KARMEN
Middle Name:MCVOY
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 1:970 PETIT AVE
Mailing Address - Street 2:SUITE 'A'
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2215
Mailing Address - Country:US
Mailing Address - Phone:805-672-2801
Mailing Address - Fax:805-672-2871
Practice Address - Street 1:970 PETIT AVE
Practice Address - Street 2:SUITE 'A'
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93004-2215
Practice Address - Country:US
Practice Address - Phone:805-672-2801
Practice Address - Fax:805-672-2871
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 9392225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist