Individual
BRANDON WALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004545
WV
225100000X
Physical Therapist
Primary
PT004545
WV
225100000X
Physical Therapist
PT030966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004545
BOARD OF PHYSICAL THERAPY LICENSE
WV
Enumeration date
08/10/2022
Last updated
07/10/2026
Update your record
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