Provider Demographics
NPI:1881883619
Name:WALSH, DONALD JAMES (PT, MS, OCS)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JAMES
Last Name:WALSH
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Gender:M
Credentials:PT, MS, OCS
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Mailing Address - Street 1:5775 OLD WINDER HWY
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-1603
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:159 SUNSET DR
Practice Address - Street 2:STE 102
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30597-9998
Practice Address - Country:US
Practice Address - Phone:706-482-2268
Practice Address - Fax:706-482-2294
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2016-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT0064262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic