Individual
JONATHAN T WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1539 ATWOOD AVE, SUITE 204, JOHNSTON, RI 02919-3262
(401) 351-0515
(401) 351-0530
Mailing address
1539 ATWOOD AVE, SUITE 204, JOHNSTON, RI 02919-3262
(401) 351-0515
(401) 351-0530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01830
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411351
BLUECHIP RI IND. ID #
RI
Enumeration date
05/15/2006
Last updated
12/22/2011
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