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1063631125
TEDD WALTERS
RIVERSIDE, CA
NPI
1063631125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 9031)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Miss TEDD WALTERS PT
10917 MAGNOLIA AVE
RIVERSIDE, CA 92505-3044
Phone number: 951-358-2600
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Mailing Address
Miss TEDD WALTERS PT
16620 SUTTLES DR
RIVERSIDE, CA 92504-5755
Phone number: 951-780-2279
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