Individual
JONATHAN M WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT,CSCS
Contact information
Practice address
2523 US HIGHWAY 80 W, SELMA, AL 36701-2413
(334) 875-2960
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-9500
(724) 343-4060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7478
AL
Other
Enumeration date
03/12/2015
Last updated
10/07/2024
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