Individual
AUDREY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 RALEIGH CT, DANVILLE, KY 40422-1796
(859) 583-9469
Mailing address
120 RALEIGH CT, DANVILLE, KY 40422-1796
(859) 583-9469
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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