Individual
MRS. CAROL LEE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29 PEMBROOK DR, STONY BROOK, NY 11790-2619
(631) 689-7837
Mailing address
29 PEMBROOK DR, STONY BROOK, NY 11790-2619
(631) 689-7837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006305-1
NY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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