Individual
MONISHA CHANTEL WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
280 SMITH AVE N STE 120, SAINT PAUL, MN 55102-2579
(612) 241-7560
Mailing address
280 SMITH AVE N STE 120, SAINT PAUL, MN 55102-2579
(651) 241-7560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8915
MN
Other
Enumeration date
01/04/2012
Last updated
04/03/2020
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