Individual
JENNIFER LINDSAY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004940
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA0000004940
STATE LICENSE
TN
Enumeration date
01/21/2013
Last updated
01/21/2013
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