Individual
MALLORY FAITH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
10/14/2019
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