Individual
MRS. JESSICA ANN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR-L
Contact information
Practice address
3001 BRADFORD ST, REPUBLIC, MO 65738-9158
(417) 732-8784
Mailing address
3001 BRADFORD ST, REPUBLIC, MO 65738-9158
(417) 732-8784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004010249
MO
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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