Individual
BLAKE ELIZABETH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12810 HILLCREST RD STE B-100, DALLAS, TX 75230-1525
(972) 404-1718
(972) 404-9006
Mailing address
5619 MERCEDES AVE, DALLAS, TX 75206-5823
(214) 549-3013
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1389175
TX
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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