Nicole Walters
Physical Therapist, Pediatrics in Burlingame, CA. Individual provider (NPI-1).
NPI number1154875490
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1154875490
- Entity type
- Individual (NPI-1)
- Name
- Nicole Walters
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2016
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | – | – | Yes |
Practice location
1541 Old Bayshore HwyBurlingame, CA 94010-1602
Phone 650-638-9142 · Fax 650-638-9141
Mailing address
1541 Old Bayshore HwyBurlingame, CA 94010-1602
Phone 650-638-9142 · Fax 650-638-9141
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