Individual
ROWAN THERESA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
108 W MAPLE AVE, INDEPENDENCE, MO 64050-2814
(816) 254-4548
(816) 254-4605
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-8912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06577
KS
225100000X
Physical Therapist
Primary
2020027397
MO
Other
Enumeration date
08/21/2020
Last updated
08/25/2020
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