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Individual

CATHLEEN WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4550 S CLYDE MORRIS BLVD, STE D., PORT ORANGE, FL 32129-5294
(386) 492-2986
Mailing address
3900 YORKTOWNE BLVD, APT. 505, PORT ORANGE, FL 32129-6008
(386) 679-8816

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22799
FL

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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