Individual
MS. BETH LITTMAN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
160 DORRENCE RD, GRANVILLE, OH 43023-9444
(740) 587-0520
Mailing address
160 DORRENCE RD, GRANVILLE, OH 43023-9444
(740) 587-0520
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT7515
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT7515
STATE LICENSURE NUMBER
OH
Enumeration date
05/16/2007
Last updated
07/08/2007
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