Individual
JOSHUA MICHAEL WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 SIERRA RD, MONTGOMERY, IL 60538-2434
(630) 347-4522
Mailing address
62 SIERRA RD, MONTGOMERY, IL 60538-2434
(630) 347-4522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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