Individual
DANIEL J WALTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3451 PHEASANT MEADOW DR, O FALLON, MO 63368-7324
(636) 379-0092
(636) 978-8299
Mailing address
3451 PHEASANT MEADOW DR, O FALLON, MO 63368-7324
(636) 379-0092
(636) 978-8299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000145657
MO
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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