Individual
BRANDY SUZANNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
28201 550TH AVE, AMES, IA 50010
(515) 290-4122
Mailing address
28201 550TH AVE, AMES, IA 50010-9137
(515) 290-4122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01670
IA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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