Individual
RUTH WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3300 N BROADWAY ST, KNOXVILLE, TN 37917-2733
(865) 689-2052
Mailing address
374 CHESTNUT RIDGE RD, WALLAND, TN 37886-2839
(865) 681-4256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2299
TN
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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