# ALAMEDA FITNESS & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780648857
- **Authorized official:** BRADLEY S WALKER PT (CLINICAL DIRECTOR)
- **Authorized official phone:** (361) 814-4800

## Contact information

- **Practice address:** 5017 SARATOGA BLVD STE 139, CORPUS CHRISTI, TX 78413-2841
- **Practice address phone:** (361) 814-4800
- **Practice address fax:** (361) 814-4830
- **Mailing address:** 5017 SARATOGA BLVD STE 139, CORPUS CHRISTI, TX 78413-2841
- **Mailing address phone:** (361) 814-4800
- **Mailing address fax:** (361) 814-4830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 549630000 | TX | Yes |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 08/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0055JN | BCBS | TX |