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1154375103
DANIEL J WALTERS
O FALLON, MO
NPI
1154375103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2000145657)
Enumeration Date
2006-05-22
Last Update Date
2007-07-08
Business Address
DANIEL J WALTERS P.T.
3451 PHEASANT MEADOW DR
O FALLON, MO 63368-7324
Phone number: 636-379-0092
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Mailing Address
DANIEL J WALTERS P.T.
3451 PHEASANT MEADOW DR
O FALLON, MO 63368-7324
Phone number: 636-379-0092
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