Provider Demographics
NPI:1679821730
Name:WILLIAMS, MARCUS FRANKLIN (DPT)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:FRANKLIN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 CLINT DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7994
Mailing Address - Country:US
Mailing Address - Phone:614-864-5700
Mailing Address - Fax:614-864-5701
Practice Address - Street 1:188 CLINT DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7994
Practice Address - Country:US
Practice Address - Phone:614-864-5700
Practice Address - Fax:614-864-5701
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist