Individual
MR. JULIAN RONN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7273 S SIWELL RD, JACKSON, MS 39272-9776
(601) 372-8223
(601) 372-8125
Mailing address
PO BOX 2153 DEPT 1947, BIRMINGHAM, AL 35287-0001
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4854
MS
Other
Enumeration date
05/11/2011
Last updated
03/07/2016
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