Individual
MR. GREG ERIC WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
692 W WASHINGTON AVE, KIRKWOOD, MO 63122-3835
(314) 413-3239
Mailing address
692 W WASHINGTON AVE, KIRKWOOD, MO 63122-3835
(314) 413-3239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115395
MO
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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