Individual
RICHARD WALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19089 FLORIDA BLVD, ALBANY, LA 70711-3603
(985) 320-5238
Mailing address
PO BOX 1536, ALBANY, LA 70711-1536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5108
LA
Other
Enumeration date
03/20/2015
Last updated
01/18/2022
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