Individual
MR. VALTER R CIPOLLARI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
125 OLD IVEY CIR, MADISON, AL 35756-3484
(256) 347-4014
Mailing address
125 OLD IVEY CIR, MADISON, AL 35756-3484
(256) 347-4014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1905
AL
Other
Enumeration date
06/22/2006
Last updated
05/15/2020
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