Individual
AMY WALTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
9 ENNIS AVE, PENNELLVILLE, NY 13132-3310
(901) 413-5636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010079-1
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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