Individual
MR. CHARLES ANDREW WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
604 WINTER MEADOWS DR., O'FALLON, MO 63366
(314) 252-2169
Mailing address
604 WINTER MEADOWS DR., O'FALLON, MO 63366
(314) 252-2169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
865
MO
Other
Enumeration date
01/15/2007
Last updated
11/26/2013
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