Individual
THERESA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 LIVORNO DR, OAKDALE, PA 15071-1795
(304) 904-3749
Mailing address
1061 LIVORNO DR, OAKDALE, PA 15071-1795
(304) 904-3749
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
06/21/2021
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