Individual
NIKITA SUE-ANN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 FIVE FORKS DR, MORGANTOWN, WV 26508-9025
(814) 279-8316
Mailing address
118 FIVE FORKS DR, MORGANTOWN, WV 26508-9025
(814) 279-8316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001738
WV
225200000X
Physical Therapy Assistant
Primary
2306603235
VA
Other
Enumeration date
05/27/2012
Last updated
05/27/2012
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