Individual
KIMBERLY ANN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4444 FOREST PARK AVE, CAMPUS BOX 8505, SAINT LOUIS, MO 63108-2212
(314) 286-1612
(314) 286-1601
Mailing address
4444 FOREST PARK AVE, CAMPUS BOX 8505, SAINT LOUIS, MO 63108-2212
(314) 286-1612
(314) 286-1601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008058
IL
Other
Enumeration date
04/08/2009
Last updated
02/24/2014
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