Individual
ZEENA WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 W 9TH AVE STE D, KING OF PRUSSIA, PA 19406-1220
(610) 992-9900
Mailing address
1541 W THOMPSON ST, PHILADELPHIA, PA 19121-5115
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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