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Individual

LISA WALKER

Active
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Individual

LISA WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003732
WA
225XH1200X
Hand Occupational Therapist
OT00003732
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0089WA
REGENCE
WA
01
0257875
L&I
WA
01
0268139
DEPT OF L&I
WA
01
0404WA
REGENCE
WA
01
1134398324
DSHS
WA
01
8368714
DSHS
WA
01
9299WA
REGENCE
WA
Enumeration date
02/21/2008
Last updated
09/12/2012
Update your record

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