Individual
DEBORAH ANN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27650 FERRY RD, SUITE B10, WARRENVILLE, IL 60555-3845
(630) 225-2466
Mailing address
130 S EAGLE ST, NAPERVILLE, IL 60540-4424
(630) 428-0221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070010591
LICENSE #
IL
Enumeration date
09/20/2006
Last updated
07/08/2007
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