Individual
MRS. STACEY LYNNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
300 WOODHAVEN DR, HILTON HEAD ISLAND, SC 29928-7511
(843) 842-3747
Mailing address
277 UNIVERSITY PARKWAY, BLUFFTON, SC 29909-6072
(843) 540-1870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3201
SC
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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