Individual
CRAIG WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1137 N EOLA RD, STE 106, AURORA, IL 60502-7096
(630) 236-6698
(630) 236-6856
Mailing address
1137 N EOLA RD, STE 106, AURORA, IL 60502-7096
(630) 236-6698
(630) 236-6856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-005074
IL
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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