Individual
JULIA ELIZABETH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
400 HILLCREST AVE, LOUISVILLE, KY 40206-1509
(513) 305-0599
Mailing address
400 HILLCREST AVE, LOUISVILLE, KY 40206-1509
(513) 305-0599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
171349
KY
225X00000X
Occupational Therapist
31006249A
IN
225X00000X
Occupational Therapist
Primary
367185
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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