MEDICARE: MELINDA WALKER

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	224Z00000X	Occupational Therapy Assistant	OT-A134	AR

General Provider Information

NPI Number	:	1295216299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA WALKER

Provider Business Mailing Address
First Line	:	1002 ROCK ST
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-2529
Country	:	US
Telephone Number	:	870-267-5593
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 ROCK ST
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-2529
Country	:	US
Telephone Number	:	870-267-5593
Fax Number	:

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

Provider Enumeration Date	:	08/27/2018
Last Update Date	:	08/27/2018

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Directions to “ MELINDA WALKER ” Practice Location

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