TOMMY OTIS WALKER B.A.
NPI 1447810700
Rehabilitation Practitioner in San Fernando, CA

Active since June 19, 2019
11565 LAUREL CANYON BLVD STE 218, SAN FERNANDO, CA 91340(818) 901-8985 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2019, Jun 19, 2019 (2 updates tracked since 2019).

About Tommy Otis Walker B.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOMMY OTIS WALKER B.A. (NPI 1447810700) is an individual rehabilitation practitioner in San Fernando, California and active in the NPI registry since June 2019. He maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1447810700
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameTOMMY OTIS WALKERCredential: B.A.
Location Address11565 LAUREL CANYON BLVD STE 218San Fernando, CA 91340-4652
Mailing Address1442 W 36th StLos Angeles, CA 90018-3941 · (323) 632-1710
Sole ProprietorNo
Enumeration DateJune 19, 2019
Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration
NPI 1447810700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

11565 LAUREL CANYON BLVD STE 218, San Fernando, CA 91340

Secondary Practice Location 1

Location 144750 60th St WLancaster, CA 93536-7619 · Phone (661) 729-2000

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
11565 LAUREL CANYON BLVD STE 218
SAN FERNANDO, CA 91340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447810700, enumerated as an "individual" on June 19, 2019.

The provider is located at 11565 LAUREL CANYON BLVD STE 218 SAN FERNANDO, CA 91340 and the phone number is (818) 901-8985.

Rehabilitation Practitioner with taxonomy code 225400000X.