Individual
DIANE P WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
415 S BLACKS CORNERS RD, IMLAY CITY, MI 48444-9761
(920) 830-6697
Mailing address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005918
MI
Other
Enumeration date
08/08/2013
Last updated
08/09/2013
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