Individual
BRIAN WALCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2040 6TH AVE, NEPTUNE, NJ 07753-6101
(732) 897-1174
Mailing address
6 JUPITER ST, MIDDLETOWN, NJ 07748-1557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00761100
NJ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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