Stephanie Wagoner Walton
Occupational Therapist
875 Pennsylvania Ave Suite A
Bardstown
, Kentucky 40004-2529
Stephanie Wagoner Walton
Occupational Therapist
875 Pennsylvania Ave Suite A
Bardstown
, Kentucky 40004-2529
(502) 350-1151
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Stephanie Wagoner Walton
- 1021 Stone House Ridge Rd
- Bardstown, KY
- Zip : 40004-9028
- Phone : (502) 350-1151
Second Address
- Stephanie Wagoner Walton
- 875 Pennsylvania Ave Suite A
- Bardstown, KY
- Zip : 40004-2529
- Fax : (502) 348-1789
- Phone : (502) 349-6961
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | KY-R2658 | KY |
National Provider Identifier
| NPI | 1972689867 |
|---|---|
| Provider Name | Stephanie Wagoner Walton |
| First Address | Bardstown, KY 40004-9028 |
| Second Address | Bardstown, KY 40004-2529 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 22/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.