MEDICARE: MRS. APRIL LYNN 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
1	225X00000X	Occupational Therapist	1056671	OR

General Provider Information

NPI Number	:	1922291459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL LYNN WALKER OTR

Provider Business Mailing Address
First Line	:	4676 COMMERCIAL ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-1902
Country	:	US
Telephone Number	:	503-302-5386
Fax Number	:	503-363-0766

Provider Business Practice Location Address
First Line	:	4676 COMMERCIAL ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-1902
Country	:	US
Telephone Number	:	503-302-5386
Fax Number	:	503-363-0766

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

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	08/17/2007

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