Individual
BERND STEPHEN VAN DE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.O.T. P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
WORKERS COMPENSATION PATIENTS ONLY.AT THIS TIME.
MI
Enumeration date
06/10/2008
Last updated
06/10/2008
Update your record
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