Individual
SHEREE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 WEST MANGUM BLVD, MENDENHALL, MS 39114
(601) 847-7040
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2845
MS
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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