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Individual

HEATHER WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
681 BEVILLE RD, SOUTH DAYTONA, FL 32119-1951
(386) 756-4395
(866) 426-2811
Mailing address
619 E FRANKFORD ST, BETHLEHEM, PA 18018-3126

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007690
PA

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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