Provider Demographics
NPI:1528405859
Name:WALKER, COURTNEY ANN (MOTR)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:ADKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4600 LOCKHILL SELMA RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2185
Mailing Address - Country:US
Mailing Address - Phone:210-408-7300
Mailing Address - Fax:210-408-7303
Practice Address - Street 1:4600 LOCKHILL SELMA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2185
Practice Address - Country:US
Practice Address - Phone:210-408-7300
Practice Address - Fax:210-408-7303
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115497225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics