Individual
MS. CAROL LAVON WALLKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-5390
Mailing address
7708 BLUE POINT AVE, BELTSVILLE, MD 20705-6315
(301) 210-3525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16715
MD
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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