| NPI | 1245584630 |
|---|---|
| Former Name | TRACY MICHELLE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010850) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9914) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2015-10-04 |