Individual
DALTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E BACON ST, PEMBROKE, GA 31321-4750
(912) 653-0040
Mailing address
116 GREENBRIAR TRL, ELLABELL, GA 31308-4747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4477
GA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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