Individual
SARAH WALKER
Active
Individual
SARAH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4077
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077
PT LICENSE
AR
01
—
444864YH52
MEDICARE GROUP MEMBER PTAN
AR
01
—
444864YJD9
MEDICARE GROUP MEMBER PTAN
AR
Enumeration date
09/04/2015
Last updated
11/04/2015
Update your record
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