Individual
ELIZABETH P WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
145 GEORGE ST, BECKLEY, WV 25801-2607
(304) 253-2273
Mailing address
523 TEEL RD, BECKLEY, WV 25801-2349
(304) 252-2650
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
000131
WV
Other
Enumeration date
01/11/2009
Last updated
01/25/2009
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