Individual
CHEYANN ASHLEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111484-01
NY
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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