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Individual
WENDY RAE WALKER
Active
Individual
WENDY RAE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169622
DEPT OF LABOR & INDUSTRIE
WA
01
—
4510166
AETNA/LEXINGTON, KY
WA
01
—
5691WA
REGENCE BLUE SHIELD
WA
01
—
810588134-10
KPS HEALTH PLANS
WA
Enumeration date
05/24/2006
Last updated
11/11/2012
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