Individual
MRS. ANITA S WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
23-22 30TH RD, SUITE 1B, ASTORIA, NY 11102-3238
(718) 726-2627
(718) 726-2627
Mailing address
23-22 30TH RD, SUITE 1B, ASTORIA, NY 11102-3238
(718) 726-2627
(718) 726-2627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013668-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02739811
—
NY
01
—
14308623
MULTI PLAN PT
NY
Enumeration date
07/19/2006
Last updated
07/09/2007
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