Individual
KATHLEEN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1042 MASTERSON DR, BATON ROUGE, LA 70810-4729
(225) 229-1862
Mailing address
1042 MASTERSON DR, BATON ROUGE, LA 70810-4729
(225) 229-1862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390170996A
—
GA
Enumeration date
01/25/2007
Last updated
07/20/2020
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