Individual
HALLIE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666
(601) 276-3900
Mailing address
309 E CLAIBORNE AVE, GREENWOOD, MS 38930-3605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4311
MS
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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