Individual
JARVIS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 SPENCER RD, SAINT PETERS, MO 63376-2438
(636) 477-9911
Mailing address
1523 SOUTH ST, VICKSBURG, MS 39180-3343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7266
MS
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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