Individual
COLLEEN JEANETTE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2021 CHESTER BLVD, RICHMOND, IN 47374
(765) 983-3092
(765) 983-3237
Mailing address
2021 CHESTER BLVD, RICHMOND, IN 47374
(765) 983-3092
(765) 983-3237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006270A
IN
Other
Enumeration date
04/21/2006
Last updated
09/10/2015
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