Individual
ALYSSA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
319 PAPILLON DR, BELLEVILLE, IL 62226-1048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018025618
MO
Other
Enumeration date
07/25/2018
Last updated
04/07/2022
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