Edi Ellington Walker, O.T.
Individual provider Active NPI Occupational Therapist · Archer, FL
NPI 1871720474 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1871720474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT9732 (FL)
- Practice address
- 14401 SW 79TH St
Archer, FL 32618-4403 - Phone
- (352) 495-3800
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9732 | FL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT9732 | FL | Yes |
Addresses
Primary practice location
14401 SW 79TH St
Archer, FL 32618-4403
Mailing address
14401 SW 79TH St
Archer, FL 32618-4403
Phone (352) 495-3800
Other providers in Archer, FL
- Susan D Schaffer
- Denise M Schentrup
- Dawn Michelle Shepard
- Sun Shine Home Care
- University of Florida College of Nursing Faculty Practice Associati
- Marceda Welcome
- Wade Wheeler
All providers in Archer, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.