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NPI Code Detail

MEDICARE: DANIEL J WALKER MPT

MEDICARE: DANIEL J WALKER MPT
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 TherapistPT011253LPA

General Provider Information

NPI Number : 1104883289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL J WALKER MPT
Provider Business Mailing Address
First Line : 565 WINTURFORD DR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-8171
Country : US
Telephone Number : 610-793-3942
Fax Number :
Provider Business Practice Location Address
First Line : 113 ARRANDALE BLVD
Second Line :
City : EXTON
State : PA
Zip : 19341-2503
Country : US
Telephone Number : 610-594-9333
Fax Number : 610-594-9246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/08/2007

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