Individual
ELIZABETH ANNE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Mailing address
156 CROSS POINT DR, OWINGS, MD 20736-3322
(443) 646-5659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27693
MD
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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