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Individual
JENNA WALTER
Active
Individual
JENNA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005365
KY
225100000X
Physical Therapist
Primary
8693
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13329
NORTH CAROLINA BOARD OF PHYSICAL THERAPY
NC
Enumeration date
01/19/2009
Last updated
01/28/2026
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