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Individual

MS. MONICA AURELIA WALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
520 S NEW CASTLE ST, NEW WILMINGTON, PA 16142-1446
(724) 946-3511
Mailing address
1790 WOODSIDE DR, HERMITAGE, PA 16148-1679
(724) 342-2518

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
OT005713
OH
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC002055L
PA

Other

Enumeration date
12/07/2009
Last updated
12/07/2009
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