Individual
MS. VICKY DIANE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
100 SHACKLEFORD RD, MERIDIANVILLE, AL 35759-1618
(615) 613-4126
Mailing address
100 SHACKLEFORD RD, MERIDIANVILLE, AL 35759-1618
(615) 613-4126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004904
TN
225200000X
Physical Therapy Assistant
PTA6456
AL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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