Individual
SUSAN HENARD WALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
217 TORO RD, HARTFORD, AL 36344-1459
(334) 588-3842
(334) 588-0514
Mailing address
217 TORO RD, HARTFORD, AL 36344-1459
(334) 588-3842
(334) 588-0514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4139
AL
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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