KEITH MONTGOMERY WALTON

TEMPE, AZ
NPI1275606121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  7102A)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- KEITH MONTGOMERY WALTON PTA
1025 E BROADWAY RD STE. 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
Mailing Address
-- KEITH MONTGOMERY WALTON PTA
1025 E BROADWAY RD STE. 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
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