Individual
CYNTHIA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S WAYNE ST, PIQUA, OH 45356-3853
(937) 214-1082
Mailing address
621 S WAYNE ST, PIQUA, OH 45356-3853
(937) 214-1082
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999
—
OH
Enumeration date
12/28/2022
Last updated
02/09/2026
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