Individual
TAVA REQUEAL WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MARKET AVE N, CANTON, OH 44702-1083
(888) 627-3678
Mailing address
9006 VALLEY SIDE DR, HOUSTON, TX 77078-3220
(281) 458-0740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209836
TX
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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