Individual
CHRISTOPHER LEE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4782 S HOLLADAY BLVD, HOLLADAY, UT 84117-5444
(801) 277-7002
Mailing address
2639 W CAMBRIDGE CROSS CIR, RIVERTON, UT 84065-6297
(801) 915-0716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6888010-4202
UT
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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