Individual
DALE EDWARD WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4101 SOUTH 4TH, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
4104 SOUTH 4TH, LEAVENWORTH, KS 66048
(913) 845-3448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00350
KS
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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