Basic Information
Provider Information
NPI: 1578703054
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALKER
FirstName: APRIL
MiddleName: FAITH
NamePrefix:  
NameSuffix:  
Credential: MS, OTR/L
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 430 INNOVATION DRIVE
Address2:  
City: BLAIRSVILLE
State: PA
PostalCode: 157178096
CountryCode: US
TelephoneNumber: 7243434060
FaxNumber: 7243434069
Practice Location
Address1: 1022 BLAKESLEE BOULEVARD DR E
Address2:  
City: LEHIGHTON
State: PA
PostalCode: 182358726
CountryCode: US
TelephoneNumber: 6103775845
FaxNumber: 6103776112
Other Information
ProviderEnumerationDate: 02/24/2009
LastUpdateDate: 01/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC005310LPAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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