Individual
MRS. ANDREA NICOLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5471 SCIOTO DARBY RD, HILLIARD, OH 43026-1310
(614) 876-7356
(614) 529-7121
Mailing address
6036 ROUND TOWER LN, DUBLIN, OH 43017-3451
(614) 932-9445
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11185
OH
2251X0800X
Orthopedic Physical Therapist
11185
OH
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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