Individual
ELIZABETH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4554 E INVERNESS AVE STE C1, MESA, AZ 85206-4639
(602) 769-8509
Mailing address
4412 E EDISON ST, TUCSON, AZ 85712-3286
(602) 769-8509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32337
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163793
AZ AHCCCS ID
AZ
Enumeration date
06/13/2022
Last updated
06/28/2024
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