Individual
AUDIE RILEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
595 VALLEY ST, WILLIMANTIC, CT 06226-1901
(860) 450-7060
Mailing address
195 FITCHVILLE RD APT 3, BOZRAH, CT 06334-1125
(860) 501-6325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2454
CT
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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