Doctor Name: | DR. THOMAS CARL WALTER |
NPI Number: | 1083685192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPA-C, DPT |
License Number: | 2305006582 |
Business Practice Address: | 620 John Paul Jones Cir Portsmouth, VA - 237082111 |
Business Phone Number: | 7579531490 |
Business Fax Number: | 7579530809 |
Mailing Address: | 6400 Ashmeade Ct, SUFFOLK |
State: | VA |
Postal Code: | 234353088 |
Phone Number: | 7576387357 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305006582 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |