Provider Demographics
NPI:1497043301
Name:WALKER, MARGIT H (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGIT
Middle Name:H
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 VAN WYCK LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2966
Mailing Address - Country:US
Mailing Address - Phone:845-440-6670
Mailing Address - Fax:
Practice Address - Street 1:200 VAN WYCK LAKE RD
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2966
Practice Address - Country:US
Practice Address - Phone:845-440-6670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0136542251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY013654Medicaid