Individual
ELISABETH WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8765 W KELTON LN STE 116, PEORIA, AZ 85382-5008
(623) 977-4911
Mailing address
18228 W CANYON LN, GOODYEAR, AZ 85338-5103
(513) 315-6280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013882
AZ
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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