Individual
CAREN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
510 W 49TH ST, INDIANAPOLIS, IN 46208-3480
(317) 940-8437
Mailing address
6563 BERTHA ST, INDIANAPOLIS, IN 46241-1011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002314A
IN
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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