Individual
LAURA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 LEGENDARY DR, SUITE 208, DESTIN, FL 32541-8604
(504) 274-9544
(850) 460-8703
Mailing address
4300 LEGENDARY DR, SUITE 208, DESTIN, FL 32541-8604
(504) 274-9544
(850) 460-8703
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 17142
FL
Other
Enumeration date
06/25/2015
Last updated
06/26/2015
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