Provider Demographics
NPI:1326374372
Name:WALKER, HEATHER BELEN
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:BELEN
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 VALLEYVIEW DR
Mailing Address - Street 2:#239
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3252
Mailing Address - Country:US
Mailing Address - Phone:661-717-9806
Mailing Address - Fax:
Practice Address - Street 1:6900 VALLEYVIEW DR
Practice Address - Street 2:#239
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3252
Practice Address - Country:US
Practice Address - Phone:661-717-9806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9026225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant