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Individual

MR. PATRICK WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., C.S.C.S

Contact information

Practice address
2714 PHILADELPHIA PIKE # A, CLAYMONT, DE 19703-2568
(302) 408-7310
(302) 416-4817
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001811
DE
225100000X
Physical Therapist
PT016048
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103007320
PA
05
1356779268
DE
01
3015873
HIGHMARK
DE
01
3015873
HIGHMARK
PA
01
3915382000
IBC
PA
01
3930195000
AMERIHEALTH (IBC)
DE
01
50132206
CAPITAL BC
PA
01
AC44-0062
CAREFIRST
DE
Enumeration date
10/31/2013
Last updated
09/06/2023
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