ANTHONY LEE WALTHER

SALEM, OR
NPI1831319300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-1008312)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Mr. ANTHONY LEE WALTHER ATC
5000 DEER PARK DR SE
SALEM, OR 97301-9330
Phone number: 503-589-8108
Mailing Address
Mr. ANTHONY LEE WALTHER ATC
5000 DEER PARK DR SE
SALEM, OR 97301-9330
Phone number: 503-589-8108
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