Individual
LISA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
92A VANDERBURG RD, MARLBORO, NJ 07746-1433
(732) 441-0404
Mailing address
904 PALMER AVE, MIDDLETOWN, NJ 07748-1255
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00329600
NJ
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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