Individual
JASON P WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8019 DIXIE HWY STE 106, LOUISVILLE, KY 40258-1303
(502) 500-6970
(502) 200-6973
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01055750
MEDICARE RAILROAD
IL
Enumeration date
01/18/2010
Last updated
03/17/2018
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