# MRS. PAMELA ANDERSON WALLS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073639811
- **Gender:** F
- **Credential:** OTRL

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 1876 | NH | — |
| 225X00000X | Occupational Therapist | 5999 | MA | Yes |
| 225X00000X | Occupational Therapist | OT1996 | ME | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 07/08/2007