Individual
IVA MARIE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3200
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
LPT-012502
AZ
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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