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Individual

ANN-MARIE ELIZABETH WALTERS

Active
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Individual

ANN-MARIE ELIZABETH WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT 007663

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P.T. 007663
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000372029
ANTHEM PROVIDER NUMBER
OH
01
11460837
CAQH CREDENTIALING NUMBER
OH
01
15668
NATIONWIDE INSURANCE
OH
05
2614504
OH
01
311356625027
CARESOURCE MCO
OH
01
685840
UHC
OH
01
9401996
PHCS NETWORK
OH
Enumeration date
11/28/2005
Last updated
01/09/2008
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