# PHYLLIS D WALKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295865509
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0075661 | NY | — |
| 225100000X | Physical Therapist | 11392 | SC | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11226693 | CAQH | NY |
| 01 | — | P00471498 | RAIL ROAD MEDICARE | NY |