Provider Demographics
NPI:1710704952
Name:WALSH, CAROLINE CHATHAM (PT, DPT, OCS)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:CHATHAM
Last Name:WALSH
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 S SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6929
Mailing Address - Country:US
Mailing Address - Phone:337-412-3467
Mailing Address - Fax:
Practice Address - Street 1:3700 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3006
Practice Address - Country:US
Practice Address - Phone:504-464-8173
Practice Address - Fax:504-464-8170
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA096922251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic