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Individual

EMILY WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(985) 722-6545
Mailing address
9 PINE RIDGE DR, LAUREL, MS 39440-3708
(985) 722-6545

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
050617
NY
225100000X
Physical Therapist
070027562
IL
225100000X
Physical Therapist
09771R
LA
225100000X
Physical Therapist
12999
MN
225100000X
Physical Therapist
304245
CA
225100000X
Physical Therapist
PT-2252
WY
225100000X
Physical Therapist
PT031377
PA
225100000X
Physical Therapist
Primary
PT7504
MS

Other

Enumeration date
12/16/2022
Last updated
10/02/2023
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