MR. Walter G. List IV, A.T.C.
NPI #1902870389 in Villanova, Pennsylvania
Provider Information
- NPI Number
- 1902870389
- Entity Type
- Individual
- Name
- MR. Walter G. List IV, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Feb 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 800 E LANCASTER AVE
- City
- Villanova
- State
- Pennsylvania
- ZIP Code
- 19085-1603
- Phone
- (610) 519-7430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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