Individual
RENNIE SIMON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Mailing address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09767R
LA
2251S0007X
Sports Physical Therapist
09767R
LA
2251X0800X
Orthopedic Physical Therapist
09767R
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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