Individual
CASEY LYNNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
Mailing address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3288
NM
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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