Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4236 | AL |
NPI | 1003451865 |
---|---|
Provider Name | Morgan Lynn Walker |
First Address | Dothan, AL 36305-7387 |
Second Address | Ozark, AL 36360-3048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2019 |
Last Update Date | 15/11/2019 |