Individual
COLETTE RUSH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1940 SANDY HOOK RD, SUITE F, GOOCHLAND, VA 23063-3100
(904) 556-7181
(804) 556-7182
Mailing address
PO BOX 57, GOOCHLAND, VA 23063-0057
(804) 556-7181
(804) 556-7182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002448
VA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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