Individual
BEVERLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 BALDWIN SQ, FAIRHOPE, AL 36532-2046
(251) 928-5497
Mailing address
PO BOX 1090, DAPHNE, AL 36526-1090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1469
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51094301
BCBS PT PROVIDER NUMBER
AL
Enumeration date
02/06/2007
Last updated
07/08/2007
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