Individual
KYLE THOMAS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 W PATRIOT ST, SOMERSET, PA 15501-1538
(814) 445-4549
Mailing address
495 W PATRIOT ST, SOMERSET, PA 15501-1538
(814) 445-4549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003408
PA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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