Individual
LAURA BETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4565 DAISY REID AVE STE 215, WOODBRIDGE, VA 22192-5670
(703) 523-8752
Mailing address
3717 5TH AVE, ALTOONA, PA 16602-1706
(814) 944-8678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207662
VA
225100000X
Physical Therapist
PT 36829
CA
Other
Enumeration date
07/08/2011
Last updated
07/13/2022
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