Individual
MR. GEORGE J WALTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 BREWSTER BLVD., NAVAL HOSPITAL, ATTN MEDICAL STAFF SERVICES, CAMP LEJEUNE, NC 28547-2538
(910) 450-4136
(910) 450-4558
Mailing address
100 BREWSTER BLVD., NAVAL HOSPITAL, ATTN MEDICAL STAFF SERVICES, CAMP LEJEUNE, NC 28547-2538
(910) 450-4136
(910) 450-4558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9256
NC
Other
Enumeration date
11/09/2006
Last updated
06/04/2009
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