Individual
VIRGINIA JANETTE WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4600 SOUTHWOOD HEIGHTS DR, JAMESVILLE, NY 13078-9595
(315) 496-1300
Mailing address
103 MIDLAND AVE, EAST SYRACUSE, NY 13057-2125
(443) 523-2813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012609-01
NY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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