Individual
THOMAS L WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 CHEVIOT RD, CINCINNATI, OH 45247-7007
(513) 245-0253
(513) 245-0258
Mailing address
5701 CHEVIOT RD, CINCINNATI, OH 45247-7007
(513) 245-0253
(513) 245-0258
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LO147
OH
224P00000X
Prosthetist
Primary
LP133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000004
ANTHEM PROVIDER NUMBER
OH
05
—
0101795
—
OH
05
—
200109890A
—
IN
01
—
2067978
AETNA PROVIDER NUMBER
OH
01
—
5348349
CIGNA PROVIDER NUMBER
OH
05
—
90003468
—
KY
Enumeration date
07/21/2005
Last updated
11/03/2015
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