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Individual

CHRIS WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17331 E US HIGHWAY 40 STE 105, INDEPENDENCE, MO 64055-6444
(816) 478-2333
Mailing address
17331 E US HIGHWAY 40 STE 105, INDEPENDENCE, MO 64055-6444
(816) 478-2333
(816) 478-2335

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001224
MO
225X00000X
Occupational Therapist
17-00359
KS
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001224
LICENSE
MO
Enumeration date
11/08/2006
Last updated
01/24/2022
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