Individual
SHANNON WALKER NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 AUTUMN CT, MADISON, VA 22727-3028
(540) 948-3054
(540) 948-4297
Mailing address
177 STABLE LN, STANARDSVILLE, VA 22973-3612
(434) 990-1728
(540) 948-4297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000722
VA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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