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Organization
WALL PT AND WELLNESS
Active
Organization
WALL PT AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS ALAN WALL PT (PHYSICAL THERAPIST)
(865) 202-3962
Entity
Organization
Contact information
Practice address
608 WINDTREE PASS, MOUNT JULIET, TN 37122-1350
(865) 202-3962
Mailing address
608 WINDTREE PASS, MOUNT JULIET, TN 37122-1350
(865) 202-3962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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