Individual
MARY M. WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Mailing address
PO BOX 87089, FAYETTEVILLE, NC 28304-7089
(910) 484-4653
(910) 483-9256
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0234
NC
225XH1200X
Hand Occupational Therapist
OT006212
GA
Other
Enumeration date
12/19/2005
Last updated
07/13/2020
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