Individual
JONATHAN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2059 TORREDGE RD, DURHAM, NC 27712-1767
(919) 620-0581
Mailing address
608 ARNETTE AVE, DURHAM, NC 27701-3114
(509) 475-8699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12929
NC
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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