John P Wall, MSOTR'L

NPI #1154441137 in Pittston, Pennsylvania

Provider Information

NPI Number: 1154441137
Entity Type: Individual
Name: John P Wall, MSOTR'L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MSOTR'L
Enumeration Date: Mar 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2 BON AIRE TER
City: Pittston
State: Pennsylvania
ZIP Code: 18640-3202
Phone: (570) 983-9173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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