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NPI Code Detail

MEDICARE: DONNA MARIE WALTON

MEDICARE: DONNA MARIE WALTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP7044NC

General Provider Information

NPI Number : 1578101424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA MARIE WALTON
Provider Business Mailing Address
First Line : 3824 N ELM ST STE 201
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2733
Country : US
Telephone Number : 336-542-2015
Fax Number : 336-542-2017
Provider Business Practice Location Address
First Line : 3824 N ELM ST STE 201
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2733
Country : US
Telephone Number : 336-542-2015
Fax Number : 336-542-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 12/11/2019

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Directions to “ DONNA MARIE WALTON ” Practice Location

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