Individual
BRADLEY MATTHEW WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-8110
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7196
SC
225100000X
Physical Therapist
8626
CO
Other
Enumeration date
08/29/2006
Last updated
11/06/2015
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