Individual
DORIS WALTERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
655 RIVER AVE, SOUTH BEND, IN 46601-3237
(231) 329-5518
Mailing address
PO BOX 233, SOUTH BEND, IN 46624-0233
(231) 329-5518
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
05013845A
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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