Individual
LAUREN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6098 DEBRA RD, CHATTANOOGA, TN 37411-5702
(423) 893-6500
Mailing address
6098 DEBRA RD, CHATTANOOGA, TN 37411-5702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105004559
VETERAN'S AFFAIRS
TN
Enumeration date
05/08/2019
Last updated
05/08/2019
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