Individual
ANGELA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 342-5600
(937) 342-5610
Mailing address
1133 CHEYENNE AVE, SPRINGFIELD, OH 45503-6132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001825
OH
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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