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Samuel Walstrum, PT, DPT, ATC

NPI 1285144931 · on the registry since 2017

Practice

Address
1286 Tracie Dr
Lake Zurich, IL 60047
Phone
(224) 633-6405

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2255A2300X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois