Individual
MS. LAURA ANN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
216 S SANGAMON AVE, GIBSON CITY, IL 60936-1559
(217) 552-2648
Mailing address
216 S SANGAMON AVE, GIBSON CITY, IL 60936-1559
(217) 552-2648
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
157004579
IL
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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