Individual
TAMI MARIE WALTERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
(541) 967-5095
Mailing address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
(541) 967-5095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2261
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158796
—
OR
01
—
A004
TRICARE ID#
OR
01
—
B060404
PACIFICSOURCE ID#
OR
Enumeration date
05/15/2006
Last updated
07/09/2007
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