Provider Demographics
NPI:1528805413
Name:WILLIAMS, DARION J
Entity type:Individual
Prefix:
First Name:DARION
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 BEECH DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3139
Mailing Address - Country:US
Mailing Address - Phone:702-238-9881
Mailing Address - Fax:
Practice Address - Street 1:3509 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-3201
Practice Address - Country:US
Practice Address - Phone:757-271-5055
Practice Address - Fax:844-442-5168
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant