Individual
BARBARA ANN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
539 BIRCH RD, ROCHELLE, GA 31079-8637
(229) 567-5343
Mailing address
289 BIRCH RD, ROCHELLE, GA 31079-8637
(229) 567-5343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004958
GA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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