Individual
ALLISON WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5959
Mailing address
41 RESERVOIR AVE UNIT 2, MERIDEN, CT 06451-2841
(601) 832-0879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002187
CT
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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