Individual
ANN-MARIE ELIZABETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT 007663
Contact information
Practice address
211 STOCKSDALE DR, MARYSVILLE, OH 43040-5507
(937) 644-3311
(937) 644-0373
Mailing address
211 STOCKSDALE DR, MARYSVILLE, OH 43040-5507
(937) 644-3311
(937) 644-0373
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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