Alicia Wall, ATC

NPI #1679870539 in Tomahawk, Wisconsin

Provider Information

NPI Number
1679870539
Entity Type
Individual
Name
Alicia Wall, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Feb 11, 2011
Last Updated
Feb 11, 2011

Practice Location

Address
401 W MOHAWK DR
ZIP Code
54487-2274
Phone
(715) 453-7740

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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