MR. Clinton Barrett Wallis, O.T.

NPI #1053359208 in Mobile, Alabama

Provider Information

NPI Number: 1053359208
Entity Type: Individual
Name: MR. Clinton Barrett Wallis, O.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: O.T.
Enumeration Date: Jun 2, 2006
Last Updated: Aug 24, 2007

Practice Location

Address: 709 DOWNTOWNER LOOP W
City: Mobile
State: Alabama
ZIP Code: 36609-5503
Phone: (251) 380-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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