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Samuel Walton, ATC
NPI 1881132942 · on the registry since 2017
Practice
- Address
- 1214 Swan Lake Dr Apt 302
Charlottesville, VA 22902 - Phone
- (201) 991-0659
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-08
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 Virginia