Individual
CHRISTINE K WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9616 ROUNDLAKE BLVD, WHITE LAKE, MI 48386-3970
(248) 360-6866
(248) 360-6866
Mailing address
9516 ROUNDLAKE BLVD, WHITE LAKE, MI 48386-3969
(248) 360-6866
(248) 360-6866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L2035176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2035176
LICENSE NUMBER
MI
Enumeration date
10/19/2012
Last updated
10/19/2012
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