Individual
KATHY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 144TH AVE NE # A3, BELLEVUE, WA 98007-4132
(519) 488-1719
Mailing address
901 144TH AVE NE # A3, BELLEVUE, WA 98007-4132
(519) 488-1719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106415
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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