Individual
DR. GABRIELLE STAR WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
252 LATITUDE LN, SUITE 103, LAKE WYLIE, SC 29710-8150
(803) 818-0218
Mailing address
956 AUTUMN GLEN CT, CLOVER, SC 29710-0107
(803) 240-5502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7288
SC
2251P0200X
Pediatric Physical Therapist
P14706
NC
Other
Enumeration date
02/10/2014
Last updated
06/11/2015
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