Individual
MARILYN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S 4TH ST RM 401A, LEAVENWORTH, KS 66048-5014
(913) 758-4280
(913) 758-4280
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 758-4280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04700
KS
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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