Individual
MR. JASON TODD WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3138 FRANK WHISNANT RD, MORGANTON, NC 28655-8222
(828) 438-0551
Mailing address
3138 FRANK WHISNANT RD, MORGANTON, NC 28655-8222
(828) 438-0551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9896
NC
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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