Individual
BLAIRE ASHLEY WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Mailing address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12466
SC
225100000X
Physical Therapist
Primary
P21358
NC
Other
Enumeration date
06/07/2022
Last updated
01/14/2026
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