MISS Tammy Lynn Walls
NPI #1124261680 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1124261680
- Entity Type
- Individual
- Name
- MISS Tammy Lynn Walls
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Apr 14, 2009
- Last Updated
- Apr 14, 2009
Practice Location
- Address
- 1523 RITTER ST
- Address 2
- APT. A
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-1044
- Phone
- (618) 978-0690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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