Individual
KRISTINE D. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(978) 247-5101
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(978) 247-5101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3480
MS
Other
Enumeration date
05/27/2010
Last updated
02/26/2015
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