Individual
KATHLEEN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1792 S LAKE DR, STE 90-125, LEXINGTON, SC 29073-6824
(585) 943-3980
Mailing address
1792 S LAKE DR, STE 90-125, LEXINGTON, SC 29073-6824
(585) 943-3980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010342-1
NY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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