Individual
MS. WANJA WACIUMA WALCHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2815 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2320
(214) 586-1095
Mailing address
2519 JOHN WEST RD APT 11102, DALLAS, TX 75228-8841
(469) 877-4282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211126
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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