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Individual

LESLIE D WALKER

Active
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Individual

LESLIE D WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010450
PA
225X00000X
Occupational Therapist
U1-0001009
DE
225XH1200X
Hand Occupational Therapist
TR001914
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102306174
PA
01
141156ZB8Y
MEDICARE
DE
01
143999VLZ
MEDICARE
PA
01
1467563288
BRAVO
PA
05
1467563288
DE
01
30067867
KEYSTONE MERCY
PA
01
3498602000
IBC
01
P00692889
MEDICARE RAILROAD
DE
01
P00692889
MEDICARE RAILROAD
PA
01
WA369990
IBC
PA
Enumeration date
08/31/2006
Last updated
06/22/2010
Update your record

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