Individual
CASEY EARLE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10300 SW 67TH AVE, MIAMI, FL 33156-3202
(850) 251-7929
Mailing address
10300 SW 67TH AVE, MIAMI, FL 33156-3202
(850) 251-7929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27025
MD
225100000X
Physical Therapist
PTL.0015236
CO
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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