Individual
KRISTEN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 223RD ST, BAYSIDE, NY 11361-2236
(718) 428-5370
Mailing address
9 VAN ROO AVE, MERRICK, NY 11566-3111
(516) 655-9207
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014327-1
NY
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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