Tedd Walters PT

NPI 1063631125 - Physical Therapist - 225100000X

NPI Details
NPI 1063631125
Gender Male
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10917 MAGNOLIA AVE
RIVERSIDE CA, 92505-3044, US
Phone (951) 358-2600
Fax
Business Location
16620 SUTTLES DR
RIVERSIDE CA, 92504-5755, US
Phone (951) 780-2279
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 9031
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According to our database, Miss Tedd Walters PT NPI is 1063631125, taxonomy code is 225100000X and license number is 9031, license state is located at California. Tedd Walters PT physically located at 10917 Magnolia Ave, Riverside CA, 92505-3044. NPI Number Tedd Walters PT has the Individual type.

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1063631125 NPI number is provided on an as is basis without warranty of any kind. 1063631125 is maintained by the National Plan & Provider Enumeration System. The contents of Tedd Walters PT are for informational purposes only.