Individual
STEPHEN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3426
(614) 457-1100
Mailing address
3008 NEIL AVE APT 71C, COLUMBUS, OH 43202-2070
(440) 925-5559
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011932
OH
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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