Theresa M Walthall, OTR/L
Occupational Therapist in Brentwood, MO. Individual provider (NPI-1).
NPI number1982927133
StatusActive
Last updated in NPPESMar 2, 2010
Details
- NPI
- 1982927133
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa M Walthall
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2010
- Last updated
- Mar 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 004721 | MO | Yes |
Practice location
8726 Bridgeport AveBrentwood, MO 63144-1808
Phone 314-963-0948
Mailing address
8726 Bridgeport AveBrentwood, MO 63144-1808
Phone 314-963-0948
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All 9 Occupational Therapist providers in Brentwood · All 249 providers in Brentwood
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