Provider Demographics
NPI:1225223977
Name:WALKER, STEVEN MICHAEL
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HONOR CENTER (MAIL-CODE - 116A3)
Mailing Address - Street 2:1604 SE 3RD AVE. RM. 106
Mailing Address - City:GAINESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:32641
Mailing Address - Country:US
Mailing Address - Phone:352-548-1811
Mailing Address - Fax:352-384-7922
Practice Address - Street 1:BUILDING 22H AVE D
Practice Address - Street 2:
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:800-949-1003
Practice Address - Fax:410-642-1892
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist