Individual
MRS. HALEY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
525 LODGE LN, SOUTH PITTSBURG, TN 37380-6439
(423) 618-8338
Mailing address
525 LODGE LN, SOUTH PITTSBURG, TN 37380-6439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000004073
TN
Other
Enumeration date
06/05/2012
Last updated
02/23/2021
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