Provider Demographics
NPI:1154497808
Name:WALKER, NEEVA PATEL (MPT)
Entity Type:Individual
Prefix:MRS
First Name:NEEVA
Middle Name:PATEL
Last Name:WALKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1895 MOWRY AVE
Mailing Address - Street 2:STE 115
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1766
Mailing Address - Country:US
Mailing Address - Phone:510-790-3213
Mailing Address - Fax:510-790-3337
Practice Address - Street 1:704 MOWRY AVE
Practice Address - Street 2:PEAK PERFORMANCE PT
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536
Practice Address - Country:US
Practice Address - Phone:510-790-3213
Practice Address - Fax:510-790-3337
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT24391225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ244612Medicare ID - Type Unspecified