Healthcare Provider Details

I. General information

NPI: 1528408853
Provider Name (Legal Business Name): KAREN DENISE WALKER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 CENTER ST
MOBILE AL
36604-3301
US

IV. Provider business mailing address

1700 CENTER ST
MOBILE AL
36604-3301
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1670
  • Fax: 251-415-1671
Mailing address:
  • Phone: 251-415-1670
  • Fax: 251-415-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2210
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: