Individual
JENNIFER RAE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692-9561
(740) 384-2119
Mailing address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692
(740) 384-2119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5506
OH
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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