Individual
GLORIA L WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4715 PERKINS RD, BATON ROUGE, LA 70808-3040
(225) 923-0110
(225) 923-0111
Mailing address
4715 PERKINS RD, BATON ROUGE, LA 70808-3040
(225) 923-0110
(225) 923-0111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03353
LA
Other
Enumeration date
01/17/2008
Last updated
05/07/2009
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