Individual
MISS SHANNON LEIGH WALKER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/LL
Contact information
Practice address
550 N WEST ST, ALEXANDRIA, VA 22314-2160
(703) 930-4169
Mailing address
550 N WEST ST, ALEXANDRIA, VA 22314-2160
(703) 930-4169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003664
VA
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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