SearchVirginia225100000X

Jacob Walton, DPT

NPI 1942869821 · on the registry since 2019

Practice

Address
100 Anna Goode Way
Suffolk, VA 23434
Phone
(757) 923-5500
Organisation at this address
Lake Prince At Home Llc
Lake Prince At Home Llc
Lake Prince Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Additional practice sites

  • 1001 G St Nw, Washington, DC
  • 100 Anna Goode Way, Suffolk, VA
  • 984b Laskin Rd, Virginia Beach, VA

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
DC, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-25

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