Individual
DEBORA LYNN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
509 E JOPPA RD, TOWSON, MD 21286-5404
(410) 828-9494
Mailing address
199 GREENVALE RD, WESTMINSTER, MD 21157-4467
(410) 259-6340
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A2897
MD
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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