Organization
ALAMEDA FITNESS & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY S WALKER PT (CLINICAL DIRECTOR)
(361) 814-4800
Entity
Organization
Contact information
Practice address
5017 SARATOGA BLVD STE 139, CORPUS CHRISTI, TX 78413-2841
(361) 814-4800
(361) 814-4830
Mailing address
5017 SARATOGA BLVD STE 139, CORPUS CHRISTI, TX 78413-2841
(361) 814-4800
(361) 814-4830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
549630000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055JN
BCBS
TX
Enumeration date
04/14/2006
Last updated
08/30/2010
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