Individual
MAKAYLA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
618 DONNELLY ST, DURYEA, PA 18642-1514
(888) 531-2204
Mailing address
618 DONNELLY ST, DURYEA, PA 18642-1514
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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