Doctor Name: | MS. MARI LYNNE WALSON |
NPI Number: | 1689840035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT005752 |
Business Practice Address: | 5716 Barrington Run Union City, GA - 302916103 |
Business Phone Number: | 7703102591 |
Business Fax Number: | 7703068555 |
Mailing Address: | 5716 Barrington Run, UNION CITY |
State: | GA |
Postal Code: | 302916103 |
Phone Number: | 7703102591 |
Fax Number: | 7703068555 |
NPI Enumeration Date: | 05/06/2008 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT005752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |