Individual
MRS. TAMMY PRIDGEN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
230 HUGHES RD STE F, MADISON, AL 35758-1113
(256) 682-0616
Mailing address
115 COVESHIRE PL, MADISON, AL 35758-3150
(256) 682-0616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2516
AL
Other
Enumeration date
10/10/2006
Last updated
03/12/2013
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