MRS. Judy Denise Wall, PTA
NPI #1750795423 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1750795423
- Entity Type
- Individual
- Name
- MRS. Judy Denise Wall, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PTA
- Enumeration Date
- Jun 20, 2014
- Last Updated
- Jun 20, 2014
Practice Location
- Address
- 4425 S CAMILLE ST
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-3624
- Phone
- (954) 336-4183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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