Individual
LORI ANN WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 MINE DR, MACUNGIE, PA 18062-8713
(215) 806-6132
Mailing address
6608 MINE DR, MACUNGIE, PA 18062-8713
(215) 806-6132
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC002672L
PA
Other
Enumeration date
05/21/2007
Last updated
08/20/2024
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