Individual
BETHANY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-9641
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-9641
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4450
CT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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