Individual
AMANDA CHRISTINE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
605 N HIGHLAND AVE, EAST SYRACUSE, NY 13057-1811
(315) 663-6227
Mailing address
605 N HIGHLAND AVE, EAST SYRACUSE, NY 13057-1811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047893
NY
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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