Healthcare Provider Details

I. General information

NPI: 1285790683
Provider Name (Legal Business Name): CORTNEY STEELE WALKER OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W MARION ST
SHELBY NC
28150-5338
US

IV. Provider business mailing address

608 FOREST HILL DR
SHELBY NC
28150-5525
US

V. Phone/Fax

Practice location:
  • Phone: 704-476-8000
  • Fax:
Mailing address:
  • Phone: 704-616-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4129
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: