Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3098 | AR |
N | 2251N0400X | Physical Therapist - Neurology | 8036468-2401 | UT |
NPI | 1730460486 |
---|---|
Provider Name | Christopher Steven Walter |
First Address | Little Rock, AR 72205-7101 |
Second Address | Salt Lake City, UT 84132-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2011 |
Last Update Date | 08/10/2021 |