Individual
NICOLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 OLD BAYSHORE HWY, BURLINGAME, CA 94010-1602
(650) 638-9142
(650) 638-9141
Mailing address
1541 OLD BAYSHORE HWY, BURLINGAME, CA 94010-1602
(650) 638-9142
(650) 638-9141
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
11/10/2020
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