Individual
REBECCA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
913 PENNY LN, SYCAMORE, IL 60178-1250
(630) 621-6426
Mailing address
913 PENNY LN, SYCAMORE, IL 60178-1250
(630) 621-6426
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003854
IL
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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