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NPI Code Detail

MEDICARE: MRS. ANN C WALKO P.T.

MEDICARE:  MRS. ANN C WALKO  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8927MA

General Provider Information

NPI Number : 1376584771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN C WALKO P.T.
Provider Business Mailing Address
First Line : 1275 ELM ST
Second Line :
City : WEST SPRINGFIELD
State : MA
Zip : 01089-1820
Country : US
Telephone Number : 413-785-1153
Fax Number : 413-781-4951
Provider Business Practice Location Address
First Line : 766 N KING ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-1142
Country : US
Telephone Number : 413-586-0230
Fax Number : 413-586-1068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 10/06/2008

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Directions to “ MRS. ANN C WALKO P.T.” Practice Location

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