Individual
BRENDEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 HAWLEY ST, BINGHAMTON, NY 13901-4017
(607) 762-8100
Mailing address
121 DICKERSON RD, WAVERLY, NY 14892-9535
(607) 237-1635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023607
NY
Other
Enumeration date
09/27/2019
Last updated
06/28/2023
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