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Individual

MR. ANTHONY Q. WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
3614 PROVIDENCE RD S, SUITE 200, WAXHAW, NC 28173-6309
(704) 384-8640
(704) 384-8650
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8640
(704) 384-8650

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4251
SC
225100000X
Physical Therapist
4251
SC
225100000X
Physical Therapist
Primary
P11791
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7212489
NC
Enumeration date
05/22/2007
Last updated
03/27/2023
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