Individual
MRS. YVONNE W WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7549
Mailing address
1245 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA305
TN
Other
Enumeration date
03/31/2008
Last updated
05/10/2008
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