Individual
ELIZABETH WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 MARSH ELDER CT, CONCORD, CA 94521-4446
(415) 599-6628
Mailing address
4420 MARSH ELDER CT, CONCORD, CA 94521-4446
(415) 599-6628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16145
CA
Other
Enumeration date
10/17/2018
Last updated
11/14/2019
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