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NPI Code Detail

MEDICARE: SUSAN JEAN WALKER OTR

MEDICARE:   SUSAN JEAN WALKER  OTR
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 Therapist012775-1NY

General Provider Information

NPI Number : 1346544418
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN JEAN WALKER OTR
Provider Business Mailing Address
First Line : 4845 TRANSIT RD
Second Line : R6
City : DEPEW
State : NY
Zip : 14043-4783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3233 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1323
Country : US
Telephone Number : 716-833-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2011
Last Update Date : 01/05/2011

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Directions to “ SUSAN JEAN WALKER OTR” Practice Location

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