Individual
OLYDIA ALEESE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1503 WINDFIELD GLN, STONE MOUNTAIN, GA 30088-3336
(770) 873-7996
Mailing address
1503 WINDFIELD GLN, STONE MOUNTAIN, GA 30088-3336
(770) 873-7996
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002596
GA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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