Individual
KATINA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FAIRWAY DR, 102, DEERFIELD BEACH, FL 33441-1814
(256) 975-7102
Mailing address
PO BOX 1822, NORMAL, AL 35762-1822
(256) 975-7102
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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