Individual
MR. H. RUFFIN WALDEN III
Active
Individual
MR. H. RUFFIN WALDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070-001474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
916500
MEDICARE ID #
IL
01
—
P00769841
RAILROAD MEDICARE
IL
Enumeration date
07/19/2007
Last updated
12/30/2009
Update your record
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