Provider Demographics
NPI:1518060250
Name:WALKER, JANICE LING (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LING
Last Name:WALKER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11882 GREENVILLE AVE
Mailing Address - Street 2:SUITE B127
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-0586
Mailing Address - Country:US
Mailing Address - Phone:469-364-3420
Mailing Address - Fax:469-364-3421
Practice Address - Street 1:11882 GREENVILLE AVE
Practice Address - Street 2:SUITE B127
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-0586
Practice Address - Country:US
Practice Address - Phone:469-364-3420
Practice Address - Fax:469-364-3421
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103604225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB127132OtherMEDICARE PTAN