Provider Demographics
NPI:1093928848
Name:WALKER, TESSA J (BS PTA)
Entity Type:Individual
Prefix:MS
First Name:TESSA
Middle Name:J
Last Name:WALKER
Suffix:
Gender:F
Credentials:BS PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 RIVER BEND RD
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1407
Mailing Address - Country:US
Mailing Address - Phone:603-659-4408
Mailing Address - Fax:
Practice Address - Street 1:187A HIGH ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-3125
Practice Address - Country:US
Practice Address - Phone:603-772-0708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0720225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant