Shane Bradley Wall, PT

NPI #1992287619 in De Leon, Texas

Provider Information

NPI Number
1992287619
Entity Type
Individual
Name
Shane Bradley Wall, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 29, 2018
Last Updated
Sep 4, 2020

Practice Location

Address
400 S HOUSTON ST
State
Texas
ZIP Code
76444-1928
Phone
(254) 893-2015

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