Provider Demographics
NPI:1891130043
Name:WALKER, RANA
Entity type:Individual
Prefix:MS
First Name:RANA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 W MASTER ST
Mailing Address - Street 2:APT. 310
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-4427
Mailing Address - Country:US
Mailing Address - Phone:215-778-9895
Mailing Address - Fax:
Practice Address - Street 1:3000 W MASTER ST
Practice Address - Street 2:APT. 310
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-4427
Practice Address - Country:US
Practice Address - Phone:215-778-9895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist