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Matthew Walk, PT

Physical Therapist in Hayward, CA. Individual provider (NPI-1).

NPI number1346356078
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346356078
Entity type
Individual (NPI-1)
Name
Mr. Matthew Walk
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 23, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist33268CAYes
225100000X Physical Therapist1152321TX

Practice location

27400 Hesperian Blvd
Pt Fellowship Kaiser Permanente
Hayward, CA 94545-4235

Phone 816-668-5254

Mailing address

404 Sw Pine Ridge Dr
Lees Summit, MO 64081-2301

Phone 816-668-5254

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