Provider Demographics
NPI:1518191832
Name:WALKER, AMY J (MPT, CWS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:J
Last Name:WALKER
Suffix:
Gender:F
Credentials:MPT, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 RIDGEWOOD RD STE 190
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1190
Mailing Address - Country:US
Mailing Address - Phone:610-373-5500
Mailing Address - Fax:610-373-5600
Practice Address - Street 1:2201 RIDGEWOOD RD STE 190
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1190
Practice Address - Country:US
Practice Address - Phone:610-373-5500
Practice Address - Fax:610-373-5600
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015079225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist