Christopher Wall, PTA

NPI #1770199838 in Indialantic, Florida

Provider Information

NPI Number: 1770199838
Entity Type: Individual
Name: Christopher Wall, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 23, 2020
Last Updated: Sep 23, 2020

Practice Location

Address: 130 HACIENDA
City: Indialantic
State: Florida
ZIP Code: 32903-2835
Phone: (321) 456-7883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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