Individual
DR. CARRIE TEMPLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T., P.T.
Contact information
Practice address
6733 CURRAN ST, 100, MC LEAN, VA 22101-6005
(703) 448-0259
Mailing address
6733 CURRAN ST, 100, MC LEAN, VA 22101-6005
(703) 448-0259
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305209154
VA
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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