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1467563288

NPI Code Detail

MEDICARE: LESLIE D WALKER OT

MEDICARE: LESLIE D WALKER 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
1	225XH1200X	Hand Occupational Therapist	TR001914	NJ
2	225X00000X	Occupational Therapist	U1-0001009	DE
3	225X00000X	Occupational Therapist	OC010450	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	141156ZB8Y	OTHER	DE	MEDICARE
4	P00692889	OTHER	DE	MEDICARE RAILROAD
9	143999VLZ	OTHER	PA	MEDICARE
10	P00692889	OTHER	PA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30067867	OTHER	PA	KEYSTONE MERCY
2	3498602000	OTHER		IBC
5	1467563288	OTHER	PA	BRAVO
6	WA369990	OTHER	PA	IBC
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467563288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE D WALKER OT

Provider Business Mailing Address
First Line	:	2 W 10TH ST
Second Line	:
City	:	MARCUS HOOK
State	:	PA
Zip	:	19061-4513
Country	:	US
Telephone Number	:	610-859-9110
Fax Number	:	610-859-8470

Provider Business Practice Location Address
First Line	:	8019 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2786
Country	:	US
Telephone Number	:	215-338-8900
Fax Number	:	215-338-8923

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/22/2010

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Directions to “ LESLIE D WALKER OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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