Diana Wall

NPI #1245638220 in Logan, Ohio

Provider Information

NPI Number: 1245638220
Entity Type: Individual
Name: Diana Wall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 8, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 27 W FRONT ST
City: Logan
State: Ohio
ZIP Code: 43138-1825
Phone: (740) 974-4515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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