Provider Demographics
NPI:1841315033
Name:WALRO, JAMES A (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:WALRO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3222 HILDRETH AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6619
Mailing Address - Country:US
Mailing Address - Phone:513-853-3353
Mailing Address - Fax:513-853-3350
Practice Address - Street 1:2454 KIPLING AVENUE
Practice Address - Street 2:SUITE 125
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239
Practice Address - Country:US
Practice Address - Phone:513-853-3353
Practice Address - Fax:513-853-3350
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist