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NPI Code Detail

MEDICARE: DR. HEATHER DALE WALTON DPT, OCS

MEDICARE:  DR. HEATHER DALE WALTON  DPT, OCS
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 Therapist2305206537VA

General Provider Information

NPI Number : 1053623629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER DALE WALTON DPT, OCS
Provider Business Mailing Address
First Line : 285 HYDRAULIC RIDGE RD
Second Line : SUITE 4
City : CHARLOTTESVILLE
State : VA
Zip : 22901-8126
Country : US
Telephone Number : 434-817-0980
Fax Number : 434-817-0985
Provider Business Practice Location Address
First Line : 285 HYDRAULIC RIDGE RD
Second Line : SUITE 4
City : CHARLOTTESVILLE
State : VA
Zip : 22901-8126
Country : US
Telephone Number : 434-817-0980
Fax Number : 434-817-0985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2010
Last Update Date : 08/27/2014

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Directions to “ DR. HEATHER DALE WALTON DPT, OCS” Practice Location

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