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Individual

CANDRA WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1455 S LAPEER RD STE 123, LAKE ORION, MI 48360-1468
(248) 656-4330
(248) 656-4331
Mailing address
1455 S LAPEER RD STE 123, LAKE ORION, MI 48360-1468
(248) 656-4330
(248) 656-4331

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011690
MI

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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