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Individual

WILLIAM WARD WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L, CHT

Contact information

Practice address
610 N FAYETTEVILLE ST, SUITE 201, ASHEBORO, NC 27203-4670
(336) 633-4263
(336) 633-4267
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0456
NC
225XH1200X
Hand Occupational Therapist
9105001166
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66987
MEDCOST
NC
01
670000777
MEDICARE RAILROAD
NC
05
7301039
NC
01
85547
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
11/08/2005
Last updated
06/16/2014
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