Provider Demographics
NPI:1174744163
Name:WALKER, SARAH R (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:WALKER
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 DELNOR DR STE 410
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4235
Mailing Address - Country:US
Mailing Address - Phone:630-938-6204
Mailing Address - Fax:630-938-6223
Practice Address - Street 1:351 DELNOR DR STE 410
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4235
Practice Address - Country:US
Practice Address - Phone:630-938-6204
Practice Address - Fax:630-938-6223
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056006777225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1081100039OtherCERTIFIED HAND THERAPIST