Individual
ANIQUE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1821 WILSHIRE BLVD, SUITE 400, SANTA MONICA, CA 90403-5618
(310) 828-2188
Mailing address
1821 WILSHIRE BLVD, SUITE 400, SANTA MONICA, CA 90403-5618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39570
CA
Other
Enumeration date
11/30/2012
Last updated
01/07/2013
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