Provider Demographics
NPI:1275551665
Name:WALKER, ROBERT HENRY (RPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:HENRY
Last Name:WALKER
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16018 TUSCOLA RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1329
Mailing Address - Country:US
Mailing Address - Phone:760-242-8672
Mailing Address - Fax:760-242-7171
Practice Address - Street 1:16018 TUSCOLA RD
Practice Address - Street 2:SUITE 6
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1329
Practice Address - Country:US
Practice Address - Phone:760-242-8672
Practice Address - Fax:760-242-7171
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT1066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT101663Medicare PIN