Individual
MRS. KELLI SUZANNE WALSINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1216 FAIRY AVE, PANAMA CITY, FL 32401-1854
(850) 527-8971
Mailing address
1216 FAIRY AVE, PANAMA CITY, FL 32401-1854
(850) 527-8971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19728
FL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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