Most Relevant Information
Provider Data
| NPI Number: | 1003060948 |
| Provider Name: | ANCILLA WALKER PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501013839 |
Most Important Dates
| Enumeration Date: | 11/05/2008 |
| Last Updated: | 03/30/2016 |
Provider Practice Location
4779 HAGGERTY RD
WEST BLOOMFIELD
MI
483233900
Practice Location Phone/Fax
| Phone: | 2483015502 |
| Fax: | 2483664126 |
Provider Mailing Location
2075 W BIG BEAVER RD
SUITE 601
TROY
MI
480843407
Provider Mailing Phone/Fax
| Phone: | 2486493755 |
| Fax: | 2486494382 |