Individual
MRS. JESSICA ROSE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7 FRONT ST, WYOMING, DE 19934-1121
(302) 698-4800
(302) 697-3406
Mailing address
13378 BEAVER DAM RD, ELLENDALE, DE 19941-3102
(302) 245-3480
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0012249
DE
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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