Individual
MR. MARCUS WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1900 NW 41ST ST, OAKLAND PARK, FL 33309-4424
(402) 660-6067
Mailing address
1900 NW 41ST ST, OAKLAND PARK, FL 33309-4424
(402) 660-6067
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22588
FL
225200000X
Physical Therapy Assistant
975
NE
Other
Enumeration date
05/05/2011
Last updated
10/21/2014
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