Doctor Name: | DR. MATTHEW MARCUS WALKO |
NPI Number: | 1629470828 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, CCS, CSCS |
License Number: | PT012868-L |
Business Practice Address: | 35 W Main St Annville, PA - 170031319 |
Business Phone Number: | 7178676854 |
Business Fax Number: | |
Mailing Address: | 2112 Beacon Cir, MECHANICSBURG |
State: | PA |
Postal Code: | 170556170 |
Phone Number: | 7175798294 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251C2600X |
License Number: | PT012868-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Cardiopulmonary |
Taxonomy Definition: |