Individual
ERIKA RENATE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
910 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3105
(843) 971-0291
(843) 971-5997
Mailing address
910 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3105
(843) 971-0291
(843) 971-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5997
SC
225100000X
Physical Therapist
PT007773
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00338571
RR MEDICARE
GA
Enumeration date
07/07/2005
Last updated
06/13/2011
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