Individual
ALEXIS MARIE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 OLD LANCASTER RD STE 420, BRYN MAWR, PA 19010-3236
(610) 527-4896
Mailing address
200 RIVER STATION BLVD APT 347, DOWNINGTOWN, PA 19335-3451
(570) 903-5398
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062389
PA
Other
Enumeration date
05/21/2021
Last updated
08/13/2025
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