Individual
LIZELLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
927 STONEHENGE RD, CHARLOTTESVILLE, VA 22901-3765
(434) 989-8874
Mailing address
927 STONEHENGE RD, CHARLOTTESVILLE, VA 22901-3765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001192
VA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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