Individual
ELIZABETH WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 HIGH ST, CHESTERTOWN, MD 21620
(410) 778-6565
Mailing address
818 HIGH ST, CHESTERTOWN, MD 21620-1152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5550
MD
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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