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1265170005
ADDISON WALTER
LEWISVILLE, TX
NPI
1265170005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 3128421)
Enumeration Date
2022-05-23
Last Update Date
2023-09-15
Business Address
ADDISON WALTER
1288 W MAIN ST STE 148
LEWISVILLE, TX 75067-3468
Phone number: 469-496-3992
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Mailing Address
ADDISON WALTER
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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