Individual
MS. LISA ANN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
477 N SAWBURG AVE, ALLIANCE, OH 44601-1506
(330) 209-4674
Mailing address
477 N SAWBURG AVE, ALLIANCE, OH 44601-1506
(330) 829-2355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14219
OH
Other
Enumeration date
04/09/2007
Last updated
08/21/2009
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