Individual
JENNIFER WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
2953 SYLVAN RAMBLE RD NE, ATLANTA, GA 30345-2159
(404) 751-7730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012974
GA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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