Individual
MICHELLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
296 HAMBURG TPKE, WAYNE, NJ 07470-2150
(973) 790-5800
Mailing address
82 VIVIAN AVE, EMERSON, NJ 07630-1000
(201) 906-6364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NJ
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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