Individual
MISS KELLY LYNN WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9400 N SHORE BLVD, LAKESIDE MARBLEHEAD, OH 43440-1337
(419) 798-8203
Mailing address
87 N MARGARET DR, LAKESIDE MARBLEHEAD, OH 43440-2514
(419) 217-5272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OH-10555
OH
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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