Organization
WALKER THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE CATHERINE WALKER MS OTR/L (OWNER)
(770) 781-4899
Entity
Organization
Contact information
Practice address
7985 KNIGHT RD, GAINESVILLE, GA 30506-6427
(770) 781-4899
(770) 781-4094
Mailing address
6625 HIGHWAY 53 E, SUITE 410 PMB 53, DAWSONVILLE, GA 30534-6838
(770) 781-4899
(770) 781-4094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594210981A
—
GA
Enumeration date
05/11/2006
Last updated
05/05/2009
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