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Individual

MRS. STEPHANIE WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
530 TANGLEWOOD LN, MISHAWAKA, IN 46545-2627
(574) 285-0720
Mailing address
33290 OLD POST RD, NILES, MI 49120-7773
(317) 331-3226

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003098A
IN

Other

Enumeration date
12/27/2016
Last updated
12/27/2016
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