Tegan Walters, PTA

NPI #1104285451 in Canon City, Colorado

Provider Information

NPI Number: 1104285451
Entity Type: Individual
Name: Tegan Walters, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 15, 2016
Last Updated: Feb 15, 2016

Practice Location

Address: 722 S 8TH ST
City: Canon City
State: Colorado
ZIP Code: 81212-4906
Phone: (719) 345-4097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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