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NPI Code Detail

MEDICARE: ERIN AUDREY WALTERS OT

MEDICARE: ERIN AUDREY WALTERS OT
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
1225X00000XOccupational Therapist
2225X00000XOccupational Therapist106597MN

General Provider Information

NPI Number : 1134793235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN AUDREY WALTERS OT
Provider Business Mailing Address
First Line : PO BOX 860912
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 1025 MARSH ST
Second Line :
City : MANKATO
State : MN
Zip : 56001-4752
Country : US
Telephone Number : 507-625-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2021
Last Update Date : 02/17/2026

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