Individual
HEATHER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5756 N MARKS AVE STE 150, FRESNO, CA 93711-2171
(559) 307-3828
Mailing address
211 N PHILLIP AVE, CLOVIS, CA 93612-0458
(559) 709-7159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
457
CA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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