Individual
JENNIFER B. WALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13801 ST FRANCIS BLVD STE 200, MIDLOTHIAN, VA 23114
(804) 320-4604
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203320
VA
Other
Enumeration date
12/07/2017
Last updated
09/17/2020
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