Individual
TERRANCE ANTHONY DORIAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
162 RYAN RD, BLAKESLEE, PA 18610-7898
(570) 982-6424
Mailing address
162 RYAN RD, BLAKESLEE, PA 18610-7898
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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