Individual
DEBRA ELAINE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
24428 S VALLEY DR, CHANNAHON, IL 60410-5226
(815) 467-6175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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