Individual
JENNIFER WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1377 11TH ST NW, CLINTON, IA 52732-5068
(563) 241-4230
Mailing address
1377 11TH ST NW, CLINTON, IA 52732-5068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
079322
IA
Other
Enumeration date
09/28/2015
Last updated
07/25/2022
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