Provider Demographics
NPI:1427298967
Name:ADAMS-WALKER, DORIAN RANELL (DPT)
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:RANELL
Last Name:ADAMS-WALKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 OAK MANOR DR
Mailing Address - Street 2:STE 101
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5553
Mailing Address - Country:US
Mailing Address - Phone:410-766-4878
Mailing Address - Fax:410-766-6619
Practice Address - Street 1:7624 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-4088
Practice Address - Country:US
Practice Address - Phone:667-219-2169
Practice Address - Fax:410-657-3363
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009928225100000X
MD27396225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist