Katherine Wall

NPI #1942746607 in Sunrise, Florida

Provider Information

NPI Number: 1942746607
Entity Type: Individual
Name: Katherine Wall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 18, 2017
Last Updated: Jan 18, 2017

Practice Location

Address: 4481 NW 99TH TER
City: Sunrise
State: Florida
ZIP Code: 33351-4748
Phone: (954) 319-2836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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