Most Relevant Information
Provider Data
| NPI Number: | 1003214206 |
| Provider Name: | REBECCA WALKER ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 096.003854 |
Most Important Dates
| Enumeration Date: | 12/21/2014 |
| Last Updated: | 12/21/2014 |
Provider Practice Location
913 PENNY LN
SYCAMORE
IL
601781250
Practice Location Phone/Fax
| Phone: | 6306216426 |
| Fax: |
Provider Mailing Location
913 PENNY LN
SYCAMORE
IL
601781250
Provider Mailing Phone/Fax
| Phone: | 6306216426 |
| Fax: |