Individual
MS. PAM WALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1005 N HICKORY RD, SOUTH BEND, IN 46615-3723
(574) 233-5754
(574) 233-7406
Mailing address
23821 GRANT RD, SOUTH BEND, IN 46619-2240
(574) 251-9368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001760A
IN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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