MEDICARE: MS. MICHELLE L WALSH-STEWART 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	225X00000X	Occupational Therapist	OT03451	OH

General Provider Information

NPI Number	:	1518999242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE L WALSH-STEWART OT

Provider Business Mailing Address
First Line	:	7442 FRANK AVENUE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720
Country	:	US
Telephone Number	:	330-305-0838
Fax Number	:	330-491-2048

Provider Business Practice Location Address
First Line	:	7442 FRANK AVENUE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720
Country	:	US
Telephone Number	:	330-477-9720
Fax Number	:

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/17/2026

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