| NPI | 1649325176 |
|---|---|
| Former Name | ANNALARSA LAETAZELLE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10782) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 10782) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-01-26 |