Doctor Name: | PATRICK B WALTER |
NPI Number: | 1508985995 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 05011237A |
Business Practice Address: | 3330 W 177th St Suite 2b, 2nd Floor Hazel Crest, IL - 604292184 |
Business Phone Number: | 7082498346 |
Business Fax Number: | 7082498348 |
Mailing Address: | 205 W Wacker Dr, Suite 1020 CHICAGO |
State: | IL |
Postal Code: | 606061216 |
Phone Number: | 3126400329 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05011237A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
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 |