Individual
CHEYENNE LOREN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 N TOWER RD, CARBONDALE, IL 62901-1929
(618) 549-3355
Mailing address
830 WEBB TOWN RD, TUNNEL HILL, IL 62972-3024
(618) 944-0092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160010127
IL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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