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NPI Code Detail

MEDICARE: MARION AILEEN WALTERS PT

MEDICARE: MARION AILEEN WALTERS PT
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 Therapist40QA00084300NJ

General Provider Information

NPI Number : 1669506721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARION AILEEN WALTERS PT
Provider Business Mailing Address
First Line : 7 COMPTON WAY
Second Line :
City : HAMILTON SQUARE
State : NJ
Zip : 08690-3920
Country : US
Telephone Number : 609-587-2915
Fax Number :
Provider Business Practice Location Address
First Line : 902 JACKSONVILLE RD
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-3814
Country : US
Telephone Number : 609-239-3894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ MARION AILEEN WALTERS PT” Practice Location

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