Individual
ELIZABETH LEE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(703) 257-9770
Mailing address
7367 CRESTLEIGH CIR, ALEXANDRIA, VA 22315-3633
(804) 389-0716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/30/2024
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