Connor Thomas Wall

NPI #1821693995 in Carbondale, Colorado

Provider Information

NPI Number
1821693995
Entity Type
Individual
Name
Connor Thomas Wall
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
Dec 4, 2020
Last Updated
Dec 4, 2020

Practice Location

Address
564 HIGHWAY 133
Address 2
LA FONTANA PLAZA
ZIP Code
81623
Phone
(970) 963-2700

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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