Individual
JOSHUA QUINCY WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5263 EMERSON VILLAGE LN, APT 106, INDIANAPOLIS, IN 46237-8001
(817) 694-3171
Mailing address
5263 EMERSON VILLAGE LN, APT 106, INDIANAPOLIS, IN 46237-8001
(817) 694-3171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
07/01/2016
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