| NPI | 1215627146 |
|---|---|
| Former Name | EMILY ALYSSA WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031277) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-10-14 |