Vickie Leona Walters LPTA

NPI 1063451342 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063451342
Gender Female
Enumeration Date 06/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
433 BROAD ST
COLUMBIA MS, 39429-3038, US
Phone (601) 444-0030
Fax
Business Location
1485 BROWNS BRIDGE RD
HATTIESBURG MS, 39401-8739, US
Phone (601) 434-9361
Fax
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number PTA3440
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According to our database, Ms. Vickie Leona Walters LPTA NPI is 1063451342, taxonomy code is 225200000X and license number is PTA3440, license state is located at Mississippi. Vickie Leona Walters LPTA physically located at 433 Broad St, Columbia MS, 39429-3038. NPI Number Vickie Leona Walters LPTA has the Individual type.

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1063451342 NPI number is provided on an as is basis without warranty of any kind. 1063451342 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie Leona Walters LPTA are for informational purposes only.