Individual
ANCILLA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4779 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-3900
(248) 301-5502
(248) 366-4126
Mailing address
2075 W BIG BEAVER RD, SUITE 601, TROY, MI 48084-3407
(248) 649-3755
(248) 649-4382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013839
MI
Other
Enumeration date
11/05/2008
Last updated
03/30/2016
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