Individual
AISHA LEDA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
846 S DORA ST, UKIAH, CA 95482-5711
(707) 462-9784
Mailing address
1420 MEADOW DR, UKIAH, CA 95482-3670
(818) 621-1145
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
39371
CA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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