Individual
MYRANDA NICOLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 E OHIO ST, JASONVILLE, IN 47438-1607
(812) 665-2226
Mailing address
8767 N RIDGE RD, JASONVILLE, IN 47438-7038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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