Individual
MIA PATRICIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
410 NEW BRIDGE ST STE 10A, JACKSONVILLE, NC 28540-4700
(910) 347-2212
(910) 338-5013
Mailing address
410 NEW BRIDGE ST STE 10A, JACKSONVILLE, NC 28540-4700
(910) 347-2212
(910) 338-5013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11311
NC
Other
Enumeration date
04/20/2016
Last updated
01/23/2020
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