MEDICARE: LINDA WARMINSKI-WALLS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	01905	MD

General Provider Information

NPI Number	:	1437713245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA WARMINSKI-WALLS OTR

Provider Business Mailing Address
First Line	:	6901 N CHARLES ST
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-3780
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9800 JESSICA LN
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1782
Country	:	US
Telephone Number	:	443-386-6691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2019
Last Update Date	:	04/26/2019

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