Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | A5497 |
NPI | 1003464017 |
---|---|
Provider Name | John V Walker |
First Address | Hendersonville, NC 28791-3759 |
Second Address | Hendersonville, NC 28791-3759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2019 |
Last Update Date | 03/09/2019 |