# WALL PROSTHETICS & ORTHOTICS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992813547
- **Authorized official:** MR. JOHN ARTHUR WALL PT, CPO, FAAOP (PRESIDENT/ PROSTHETIST/ ORTHOTIST)
- **Authorized official phone:** (978) 745-3500

## Contact information

- **Practice address:** 2 CENTENNIAL DR, UNIT 6A, PEABODY, MA 01960-7911
- **Practice address phone:** (978) 538-9800
- **Practice address fax:** (978) 538-9811
- **Mailing address:** 2 CENTENNIAL DR, UNIT 6A, PEABODY, MA 01960-7911
- **Mailing address phone:** (978) 538-9800
- **Mailing address fax:** (978) 538-9811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 11/10/2008