Individual
MICHAEL ROBERT WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
435 MAIN ST STE A, FRANKLIN, TN 37064-2757
(615) 794-9602
Mailing address
435 MAIN ST STE A, FRANKLIN, TN 37064-2757
(615) 794-9602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2314
TN
252Y00000X
Early Intervention Provider Agency
Primary
2314
TN
Other
Enumeration date
04/09/2007
Last updated
06/23/2008
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