Provider Demographics
NPI:1093568362
Name:WALKER, BRITTANY (OT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 HIGHWAY 3125 STE 3
Mailing Address - Street 2:
Mailing Address - City:LUTCHER
Mailing Address - State:LA
Mailing Address - Zip Code:70071-5641
Mailing Address - Country:US
Mailing Address - Phone:225-258-9301
Mailing Address - Fax:
Practice Address - Street 1:1959 HIGHWAY 3125 STE 3
Practice Address - Street 2:
Practice Address - City:LUTCHER
Practice Address - State:LA
Practice Address - Zip Code:70071-5641
Practice Address - Country:US
Practice Address - Phone:225-258-9301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist