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Individual

MISS MARLO WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
Mailing address
325 N SAINT PAUL ST STE 4200, DALLAS, TX 75201-3832
(484) 557-0053

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3416
SC
225X00000X
Occupational Therapist
OC010172
PA

Other

Enumeration date
10/06/2008
Last updated
10/06/2008
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