Individual
MS. LAKESHA RENE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2401 RESEARCH BLVD STE 109, ROCKVILLE, MD 20850-3215
(877) 221-2981
(301) 657-5651
Mailing address
3942 CUTTY SARK RD, MIDDLE RIVER, MD 21220-2332
(443) 421-1723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02058
MD
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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