=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013823038
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA WALKER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2026
-----------------------------------------------------
Last Update Date | 08/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2630 W HOWELL RD
-----------------------------------------------------
City | MASON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48854-9392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-930-4017
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 594 TIRRELL RD
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48813-2106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-930-4017
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 5201002606
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------