| Doctor Name: | DR. CHARLES K. WALTERS |
| NPI Number: | 1033364021 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DHSC, OTR/L, CHT |
| License Number: | OT-520 |
| Business Practice Address: | 1650 Cochrane Cir Us Army Meddac Fort Carson, CO - 809134603 |
| Business Phone Number: | 7195260131 |
| Business Fax Number: | 7195267882 |
| Mailing Address: | 8520 Smokey Falls Ct, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809205321 |
| Phone Number: | 7193882029 |
| Fax Number: | 7195267882 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XE1200X |
| License Number: | OT-520 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |