Kenneth Wall

NPI #1710475397 in Durand, Michigan

Provider Information

NPI Number: 1710475397
Entity Type: Individual
Name: Kenneth Wall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 29, 2018
Last Updated: Apr 29, 2018

Practice Location

Address: 8750 MONROE RD
City: Durand
State: Michigan
ZIP Code: 48429-1000
Phone: (989) 288-3166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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