Individual
ANDREW OXLEY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1301 E BIDWELL ST, 201, FOLSOM, CA 95630-3452
(916) 983-5915
(916) 983-5925
Mailing address
1301 E BIDWELL ST, 201, FOLSOM, CA 95630-3452
(916) 983-5915
(916) 983-5925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2884
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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