Individual
KIRSTEN LEE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
140 S MARION AVE, BREMERTON, WA 98312-3639
(360) 479-4747
Mailing address
140 S MARION AVE, BREMERTON, WA 98312-3639
(360) 479-4747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT34293
CA
2251G0304X
Geriatric Physical Therapist
Primary
PT60108407
WA
Other
Enumeration date
12/12/2007
Last updated
12/22/2009
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