Individual
JACOB ALEXANDER WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
(757) 923-5500
Mailing address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
(757) 425-7180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213728
VA
225100000X
Physical Therapist
PT872443
DC
Other
Enumeration date
06/13/2019
Last updated
11/25/2020
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