Most Relevant Information
Provider Data
| NPI Number: | 1003642372 |
| Provider Name: | MARY KATHERINE WALTON MSOT R/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XG0600X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2024 |
| Last Updated: | 09/12/2024 |
Provider Practice Location
1220 KY HIGHWAY 801 S
MOREHEAD
KY
403518720
Practice Location Phone/Fax
| Phone: | 6065480590 |
| Fax: |
Provider Mailing Location
1220 KY HIGHWAY 801 S
MOREHEAD
KY
403518720
Provider Mailing Phone/Fax
| Phone: | 6065480590 |
| Fax: |