Individual
LESLIE D WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136-2786
(215) 338-8900
(215) 338-8923
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-9110
(610) 859-8470
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
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