Provider Demographics
NPI:1922031350
Name:SARA E WALKER
Entity Type:Organization
Organization Name:SARA E WALKER
Other - Org Name:HAND REHABILITATION & INJURY PREVENTION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:408-377-2696
Mailing Address - Street 1:3880 S BASCOM AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2674
Mailing Address - Country:US
Mailing Address - Phone:408-377-2696
Mailing Address - Fax:408-377-1692
Practice Address - Street 1:3880 S BASCOM AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2674
Practice Address - Country:US
Practice Address - Phone:408-377-2696
Practice Address - Fax:408-377-1692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 2747332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA526-339-0001Medicare NSC