Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 46TR00465100 | NJ |
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1275843203 |
---|---|
Provider Name | Caitlin E Walker |
First Address | Washington, DC 20307-0003 |
Second Address | Dumfries, VA 22025-2050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2010 |
Last Update Date | 11/08/2020 |