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Individual
KELLI S WALKER
Active
Individual
KELLI S WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0207851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207851
LICENSE
NY
01
—
PT 27386
LICENSE
FL
Enumeration date
01/02/2007
Last updated
02/22/2022
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