Doctor Name: | MS. RANDI JEANNE WALKER |
NPI Number: | 1013128164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTRL, CHT |
License Number: | 4238 |
Business Practice Address: | 11406 Loma Linda Dr West Entrance Loma Linda, CA - 923543711 |
Business Phone Number: | 9095586144 |
Business Fax Number: | |
Mailing Address: | 332 Normandie Ct, REDLANDS |
State: | CA |
Postal Code: | 923735162 |
Phone Number: | 9097934272 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 4238 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |