Individual
SUSAN M WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
410 WOODACRE DR, REDDING, CA 96002-3505
(530) 255-4063
Mailing address
410 WOODACRE DR, REDDING, CA 96002-3505
(530) 255-4063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5224
CA
225XP0200X
Pediatric Occupational Therapist
Primary
5224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004228
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
5224
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY LICENSE
CA
Enumeration date
06/16/2010
Last updated
03/22/2024
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