Craig Walter PTA

NPI 1568697118 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1568697118
Gender Male
Enumeration Date 05/27/2009
Last Updated 05/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1137 N EOLA RD
STE 106
AURORA IL, 60502-7096, US
Phone (630) 236-6698
Fax (630) 236-6856
Business Location
1137 N EOLA RD
STE 106
AURORA IL, 60502-7096, US
Phone (630) 236-6698
Fax (630) 236-6856
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160-005074
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According to our database, Craig Walter PTA NPI is 1568697118, taxonomy code is 225200000X and license number is 160-005074, license state is located at Illinois. Craig Walter PTA physically located at 1137 N Eola Rd, Aurora IL, 60502-7096. NPI Number Craig Walter PTA has the Individual type.

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1568697118 NPI number is provided on an as is basis without warranty of any kind. 1568697118 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Walter PTA are for informational purposes only.