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NPI Code Detail

MEDICARE: STEVAN A WALKER COTA/L

MEDICARE:   STEVAN A WALKER  COTA/L
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
1224Z00000XOccupational Therapy Assistant13280FL

General Provider Information

NPI Number : 1679421937
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVAN A WALKER COTA/L
Provider Business Mailing Address
First Line : 3110 OAKBRIDGE BLVD E
Second Line :
City : LAKELAND
State : FL
Zip : 33803-5987
Country : US
Telephone Number : 863-619-2102
Fax Number :
Provider Business Practice Location Address
First Line : 3110 OAKBRIDGE BLVD E
Second Line :
City : LAKELAND
State : FL
Zip : 33803-5987
Country : US
Telephone Number : 863-619-2102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ STEVAN A WALKER COTA/L” Practice Location

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