Individual
MR. BRAD AFTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LPTA
Contact information
Practice address
13 EXECUTIVE DR, SUITE 18, FAIRVIEW HEIGHTS, IL 62208-1342
(618) 624-8105
(618) 624-8214
Mailing address
13 EXECUTIVE DR, SUITE 18, FAIRVIEW HEIGHTS, IL 62208-1342
(618) 624-8105
(618) 624-8214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-002920
IL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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