Individual
MR. WILSON CHRISTOPHER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6530 THOMAS ST, HOLLYWOOD, FL 33024-4037
(954) 549-6125
Mailing address
915 MIDDLE RIVER DR, FORT LAUDERDALE, FL 33304-3544
(954) 549-6125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14167
FL
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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