Individual
TIMOTHY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
Mailing address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209001
TX
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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