Individual
BEVERLY G WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
705 FM 315 S LOT 5, CHANDLER, TX 75758-5832
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2009346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009346
PTA LICENSE
TX
Enumeration date
08/30/2018
Last updated
08/30/2018
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