Individual
MRS. KIMBERLY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 S PRINCE ST, WHITEWATER, WI 53190-1725
(262) 903-4508
Mailing address
211 S PRINCE ST, WHITEWATER, WI 53190-1725
(262) 903-4508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116-19
WI
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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