Individual
MR. MARSHALL DAVID WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3000 SCHOOL HOUSE RD, TALLAHASSEE, FL 32311-7855
(850) 284-8774
Mailing address
2436 NEEDLE PALM WAY, TALLAHASSEE, FL 32309-3547
(850) 284-8774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000794
FL
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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