Healthcare Provider Details

I. General information

NPI: 1093783680
Provider Name (Legal Business Name): GAIL GRAHAM WALKER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: GAIL IRENE GRAHAM D.C.

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 E BUTLER AVE
CHALFONT PA
18914-3002
US

IV. Provider business mailing address

164 CARDINAL RD
CHALFONT PA
18914-3110
US

V. Phone/Fax

Practice location:
  • Phone: 215-997-8786
  • Fax: 215-997-0810
Mailing address:
  • Phone: 215-997-8786
  • Fax: 215-997-0810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC005134L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: