Individual
WILLIAM WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2630 E CHESTNUT AVE STE C5, VINELAND, NJ 08361-8400
(856) 692-1483
Mailing address
900 ROUTE 9 N STE 410, WOODBRIDGE, NJ 07095-1003
(201) 801-7141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00349400
NJ
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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