Individual
ABIGAIL ROSE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
2909 S 12TH ST, TACOMA, WA 98405-2540
(253) 336-2040
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61176725
WA
Other
Enumeration date
08/13/2018
Last updated
02/03/2022
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