Individual
MR. CHRIS WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
54 FOREST DR APT G, GARNERVILLE, NY 10923-2170
(941) 255-5855
Mailing address
4026 VIRGIE COLE RD, SOUTH BOSTON, VA 24592-6484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000562
VA
Other
Enumeration date
02/19/2010
Last updated
05/30/2013
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