Provider Demographics
NPI:1548003064
Name:WALKER, AMBER BROWN (OTR/L)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:BROWN
Last Name:WALKER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LYNN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PSC 817 BOX 2566
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09622-0026
Mailing Address - Country:US
Mailing Address - Phone:803-422-9513
Mailing Address - Fax:
Practice Address - Street 1:PSC 817 BOX 2566
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09622-0026
Practice Address - Country:US
Practice Address - Phone:803-422-9513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3442225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist