Individual
GEORGANNA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
534 LE MASTER DR, PONTE VEDRA BEACH, FL 32082-2310
(904) 280-2723
Mailing address
534 LE MASTER DR, PONTE VEDRA BEACH, FL 32082-2310
(904) 280-2723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1638
FL
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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