Individual
MRS. PAULETTE SUSAN WALTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
PHYSICAL MEDICINE & REHAB OCCUPATIONAL THERAPY, MOUNTAIN HOME, TN 37684
(423) 979-2901
Mailing address
2706 CHEROKEE ROAD, JOHNSON CITY, TN 37604
(423) 979-2901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2849
TN
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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