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Individual

MISS CYNTHIA LYNN WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
134 INFIELD RD, MOORESVILLE, NC 28117-8026
(704) 799-6824
Mailing address
2221 KENWOOD DR, KANNAPOLIS, NC 28081-9717
(704) 701-6076

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4880
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13703
BLUE CROSS
NC
Enumeration date
03/16/2007
Last updated
11/02/2011
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