Individual
ADDISON WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1288 W MAIN ST STE 148, LEWISVILLE, TX 75067-3468
(469) 496-3992
(972) 845-7419
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3128421
TX
Other
Enumeration date
05/23/2022
Last updated
09/15/2023
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