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Individual

WALTER TOLERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 607-1415
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 607-1415

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1065
MS

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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