Individual
HEATHER WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 BEAR CREEK LN, HUDSON, FL 34667
(727) 485-4660
Mailing address
1703 MCMULLEN BOOTH RD #1440, SAFETY HARBOR, FL 34695
(727) 485-4660
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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