Individual
MR. JAMES PETER WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
482 WINDING WOOD DR, WETUMPKA, AL 36093-1695
(334) 322-3802
Mailing address
482 WINDING WOOD DR, WETUMPKA, AL 36093-1695
(334) 322-3802
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1434
AL
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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