Individual
KATHRYN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Mailing address
6620 CARPENTER RD SE, LACEY, WA 98503-2475
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
61278183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61278183
WASHINGTON STATE OCCUPATIONAL THERAPY LICENSE
WA
Enumeration date
09/12/2022
Last updated
09/12/2022
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