Individual
LINDA SUE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 E VINE ST, MURFREESBORO, TN 37130-3734
(615) 890-2020
Mailing address
PO BOX 4101, REEDS, MO 64859-0101
(417) 548-6591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005321
MO
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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