Individual
KATHERINE CORCORAN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
837 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-3690
(907) 543-1276
Mailing address
PO BOX 200, DAYTON, MT 59914-0200
(406) 206-5692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103447
AK
225X00000X
Occupational Therapist
2086
NH
225X00000X
Occupational Therapist
OT2331
ME
225X00000X
Occupational Therapist
OTPOTLIC3346
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002573
—
AK
Enumeration date
01/12/2015
Last updated
08/24/2018
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