Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1871717611 |
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| LBN Legal business name | WALTON PHYSICAL THERAPY & SPORTS MEDICINE INC | ||||
| Authorized official | W. WALTON - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/12/2007 | ||||
| Last updated | 10/20/2023 - About 3 years ago | ||||
| Identifiers |
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