Individual
LINDA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19130 KLIPPEL RD, BEND, OR 97701-9263
(541) 389-7499
Mailing address
972 W MAPLE CT, LOUISVILLE, CO 80027-1054
(360) 820-0567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012790
CO
225200000X
Physical Therapy Assistant
10823
CA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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