Individual
AUTUMN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 OLD CHAPIN RD, LEXINGTON, SC 29072-2017
(803) 828-0037
Mailing address
205 HERITAGE HILLS DR, COLUMBIA, SC 29203-9298
(803) 846-2333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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