Individual
DEBRA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 N KENTON AVE, CHICAGO, IL 60630-4116
(773) 205-8543
(773) 205-8543
Mailing address
4545 N KENTON AVE, CHICAGO, IL 60630-4116
(773) 205-8543
(773) 205-8543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000254
IL
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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