NPI 1003060948

Ancilla Walker, PT

Practitioner Physical Therapist West Bloomfield, MI

Practice location

Address: 4779 Haggerty Rd, West Bloomfield, MI 48323-3900
Phone: (248) 301-5502
Fax: (248) 366-4126
Mailing address: 2075 W Big Beaver Rd Suite 601, Troy, MI 48084-3407

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5501013839 (MI)

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Registry record

NPI: 1003060948
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2008
Record last updated: 30 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.