Individual
LUANN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 N MAIN ST, CARROLL, IA 51401-2739
(712) 792-4000
(712) 792-3554
Mailing address
515 N MAIN ST, CARROLL, IA 51401-2739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02397
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421477075
—
IA
Enumeration date
09/12/2012
Last updated
10/19/2012
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