MEDICARE: MR. DANIEL A WALKER PT, DPT, OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 34200	CA

General Provider Information

NPI Number	:	1730292251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL A WALKER PT, DPT, OCS

Provider Business Mailing Address
First Line	:	3033 5TH AVE
Second Line	:	SUITE 410
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5856
Country	:	US
Telephone Number	:	619-228-9668
Fax Number	:	619-228-9685

Provider Business Practice Location Address
First Line	:	3033 5TH AVE
Second Line	:	SUITE 410
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5856
Country	:	US
Telephone Number	:	619-228-9668
Fax Number	:	619-228-9685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/21/2022

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