Individual
MICHEAL J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8265 113TH ST, SEMINOLE, FL 33772-4128
(727) 394-0949
Mailing address
8500 BELCHER RD, APT 513, PINELLAS PARK, FL 33781-1015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21877
FL
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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