Individual
DR. KEVIN WALLEWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
325 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3134
(719) 630-8000
Mailing address
1775 PIROS DR, COLORADO SPRINGS, CO 80915-4308
(719) 235-8488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6561
CO
Other
Enumeration date
05/10/2007
Last updated
09/10/2012
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