Individual
CAROL WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27005 PACIFIC HWY S, DES MOINES, WA 98198-9250
(253) 839-9280
(253) 839-9375
Mailing address
27005 PACIFIC HWY S, DES MOINES, WA 98198-9250
(253) 839-9280
(253) 839-9375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P160038427
WA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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