Individual
SHAWNA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
301 N SIDNEY AVE, RUSSELLVILLE, AR 72801-4383
(479) 890-5494
Mailing address
301 N SIDNEY AVE, RUSSELLVILLE, AR 72801-4383
(479) 890-5494
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 4254
AR
Other
Enumeration date
09/16/2009
Last updated
01/20/2017
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