Individual
IYISHA K WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 573-1037
(317) 200-3965
Mailing address
625 S B ST, RICHMOND, IN 47374-5430
(765) 462-1361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003367A
IN
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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