MS. Nicole Fay Wall, B.S.

NPI #1306020599 in Hernando, Florida

Provider Information

NPI Number: 1306020599
Entity Type: Individual
Name: MS. Nicole Fay Wall, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: B.S.
Enumeration Date: Dec 24, 2007
Last Updated: Dec 24, 2007

Practice Location

Address: 778 WEST COCKATIEL LOOP
City: Hernando
State: Florida
ZIP Code: 34442
Phone: (305) 308-5816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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