Individual
STEPHANIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S MAIN ST, SUITE 220, PLYMOUTH, MI 48170-2089
(773) 549-5294
Mailing address
705 S MAIN ST, SUITE 220, PLYMOUTH, MI 48170-2089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011099892
—
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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