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Individual

JOAN WALCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(386) 756-4395
(386) 944-7202
Mailing address
37 WASHINGTON ST, DANSVILLE, NY 14437-1526
(386) 756-4395
(386) 944-7202

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211207
TX

Other

Enumeration date
10/24/2011
Last updated
10/24/2011
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