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Individual

MS. CAROL YVONNE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R., C.E.A.S

Contact information

Practice address
3451 S CHAMBERS RD, AURORA, CO 80014-5073
(303) 680-6121
(303) 680-8627
Mailing address
15906 DUCKWEED CT, PARKER, CO 80134-8895
(303) 250-8778

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105662
TX

Other

Enumeration date
11/22/2006
Last updated
07/09/2009
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