Individual
DANIELLE DESERAE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N ROSS ST APT O, AUBURN, AL 36830-4843
(757) 288-1967
Mailing address
159 SHELLBARK DR, MCDONOUGH, GA 30252-1622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007401
GA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/22/2019
Last updated
11/13/2023
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